Mercho, Farouk E

Mercho, Farouk E is an individual health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mercho, Farouk E can be contacted via phone (765) 446-4819.

Contact Information

Primary practice address
1701 S Creasy Ln Lafayette IN 47905-4972
Phone: (765) 446-4819
Fax: (765) 446-4859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01031856A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.088403 Ohio

Profile Details

NPI number 1457497307
LBN Legal business name Mercho, Farouk E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 2nd, 2011 - about 13 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 1457497307 NPPES
Indiana Other 000000379915 BCBS
Indiana Other P00817909 BCBS
Indiana Other 000000653260 BCBS
Indiana MEDICAID 100320650 BCBS
Indiana MEDICAID 2863414 BCBS

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