Provider Demographics
NPI:1174732804
Name:FAROOQUI, NABEEL N (MD)
Entity type:Individual
Prefix:DR
First Name:NABEEL
Middle Name:N
Last Name:FAROOQUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2663
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:11501 CUMBERLAND RD STE 500
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7010
Practice Address - Country:US
Practice Address - Phone:317-863-9300
Practice Address - Fax:317-863-9333
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01075289A207K00000X
TN45288207R00000X
OH35098501207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1126008OtherMEDICARE PTAN
ININ1125008OtherMEDICARE PTAN
IN201292330Medicaid