Provider Demographics
NPI:1366572042
Name:RAUFA G FAROQUI MD PC
Entity type:Organization
Organization Name:RAUFA G FAROQUI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RAUFA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FAROQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-888-1870
Mailing Address - Street 1:59 EAST 54TH STREET
Mailing Address - Street 2:SUITE # PENT HOUSE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4211
Mailing Address - Country:US
Mailing Address - Phone:212-888-1870
Mailing Address - Fax:212-888-7066
Practice Address - Street 1:59 EAST 54TH STREET
Practice Address - Street 2:SUITE PENT HOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4211
Practice Address - Country:US
Practice Address - Phone:212-888-1870
Practice Address - Fax:212-888-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C04638Medicare UPIN
03A761Medicare ID - Type Unspecified