Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 47920 | CO |
N | 207X00000X | Orthopaedic Surgeon | MD00046367 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2005-00070 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 47920 | CO |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00046367 | WA |
NPI | 1275516486 |
---|---|
Provider Name | Dr. Waqqar Bin Khan-Farooqi |
First Address | Grand Junction, CO 81505-6401 |
Second Address | Grand Junction, CO 81505-6401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68034091 | (05) | CO |
CO305296 | (02) | CO |