Farooq, Mohammad
Farooq, Mohammad is an individual health care provider with primary practice located at 1714 E Hundred Rd Ste 101 , Chester VA 23836-3310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Farooq, Mohammad can be contacted via phone (804) 590-6750.Contact Information
Primary practice address
1714 E Hundred Rd Ste 101
Chester VA 23836-3310
Phone: (804) 590-6750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101055927 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101055927 | Virginia |
Profile Details
| NPI number | 1396704581 |
|---|---|
| LBN Legal business name | Farooq, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 9th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396704581 | NPPES |
| Virginia | Other | C06778 | GROUP PTAN |
| Virginia | Other | CI3965 | GROUP PTAN |
| Virginia | MEDICAID | 005811074 | GROUP PTAN |
| Virginia | Other | 290010581 | GROUP PTAN |
| Virginia | Other | C05898 | GROUP PTAN |
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