Farooqui, M Shuaib

Farooqui, M Shuaib is an sole proprietor health care provider with primary practice located at 1002 N Church St Suite 301, Greensboro NC 27401-1439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Farooqui, M Shuaib can be contacted via phone (336) 274-6447.

Contact Information

Primary practice address
1002 N Church St Suite 301 Greensboro NC 27401-1439
Fax: (336) 419-0012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200100863 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301090987 Michigan
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 4301090987 Michigan
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 200100863 North Carolina

Profile Details

NPI number 1780637611
LBN Legal business name Farooqui, M Shuaib
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Oct 30th, 2020 - about 5 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 1780637611 NPPES
North Carolina Other 1192559 AETNA
North Carolina Other 183729 AETNA
North Carolina MEDICAID 8912805 AETNA
North Carolina Other 12805 AETNA

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