Farooq, Shiraz
Farooq, Shiraz is an individual health care provider with primary practice located at 2313 W Violet St Ste A , Tampa FL 33603-1421. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Farooq, Shiraz can be contacted via phone (813) 278-6430.Contact Information
Primary practice address
2313 W Violet St Ste A
Tampa FL 33603-1421
Phone: (813) 278-6430
Fax: (855) 832-3509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD19555 | Maine |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME108308 | Florida |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD19555 | Maine |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD19555 | Maine |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ME108308 | Florida |
Profile Details
NPI number | 1205970431 |
---|---|
LBN Legal business name | Farooq, Shiraz |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2007 |
Last updated | Mar 4th, 2022 - about 3 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 | 1205970431 | NPPES |
Florida | MEDICAID | 002743100 | |
Florida | Other | 149U4 |
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