Jalisi, Farrukh M

Jalisi, Farrukh M is an individual health care provider with primary practice located at 7845 Oakwood Rd Ste 106 , Glen Burnie MD 21061-4256. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jalisi, Farrukh M can be contacted via phone (410) 760-5100.

Contact Information

Primary practice address
7845 Oakwood Rd Ste 106 Glen Burnie MD 21061-4256
Fax: (410) 760-5932
Website:

Profile Details

NPI number 1174621346
LBN Legal business name Jalisi, Farrukh M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 6th, 2024 - about 10 months 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 1174621346 NPPES
Ohio MEDICAID 3091112
Ohio MEDICAID 3810018590
Ohio Other P00858196

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