Farooqi, Ikram A

Farooqi, Ikram A is an individual health care provider with primary practice located at 65 Walnut St Suite 360, Wellesley MA 02481-2118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Farooqi, Ikram A can be contacted via phone (781) 898-7301.

Contact Information

Primary practice address
65 Walnut St Suite 360 Wellesley MA 02481-2118
Fax: (781) 898-7302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158637 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 158637 Massachusetts

Profile Details

NPI number 1285685834
LBN Legal business name Farooqi, Ikram A
Credentials M.D. C.W.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 24th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285685834 NPPES
Massachusetts Other 3600203 AETNA
Massachusetts Other 463963 AETNA
Massachusetts MEDICAID 110060955A AETNA
Massachusetts Other J19902 AETNA
Massachusetts Other 0027018 AETNA
Massachusetts Other 0407604 AETNA
Massachusetts Other 3643404 AETNA
Massachusetts Other AA7118 AETNA

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