Provider Demographics
NPI:1588472427
Name:FARUQI, SHAHEER KHALID
Entity type:Individual
Prefix:
First Name:SHAHEER
Middle Name:KHALID
Last Name:FARUQI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 ST JOSEPH CT
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1226
Mailing Address - Country:US
Mailing Address - Phone:765-409-1095
Mailing Address - Fax:
Practice Address - Street 1:240 ST JOSEPH CT
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1226
Practice Address - Country:US
Practice Address - Phone:765-409-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program