Provider Demographics
NPI:1437726643
Name:FAROOQI, MUHAMMAD WAQAS (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD WAQAS
Middle Name:
Last Name:FAROOQI
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 1:1901 FIRST AVE., NEW YORK, NY 10029
Mailing Address - Street 2:
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-7407
Mailing Address - Fax:
Practice Address - Street 1:1901 FIRST AVE., NEW YORK, NY 10029
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-7407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2024-12-30
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2024-12-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program