Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 01075289A | IN |
NPI | 1174732804 |
---|---|
Provider Name | Dr. Nabeel N Farooqui |
First Address | Charlotte, NC 28260-3725 |
Second Address | Fishers, IN 46037-7010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 25/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
IN1126008 | MEDICARE PTAN (01) | IN |