Jaara, Farouk M

Jaara, Farouk M is an sole proprietor health care provider with primary practice located at 803 N Salk Dr , Casa Grande AZ 85222-5447. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jaara, Farouk M can be contacted via phone (520) 836-6682.

Contact Information

Primary practice address
803 N Salk Dr Casa Grande AZ 85222-5447
Fax: (602) 240-6177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64152 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 64152 Arizona
Other Service Providers / Specialist 174400000X 35.046352 Ohio

Profile Details

NPI number 1235193145
LBN Legal business name Jaara, Farouk M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Jul 16th, 2007 - about 17 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 1235193145 NPPES
Arizona MEDICAID 114310

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