Farooki, Shella

Farooki, Shella is an individual health care provider with primary practice located at 27005 Knickerbocker Rd Ste 100 , Bay Village OH 44140. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Farooki, Shella can be contacted via phone (805) 620-2699.

Contact Information

Primary practice address
27005 Knickerbocker Rd Ste 100 Bay Village OH 44140
Phone: (805) 620-2699
Fax: (800) 616-0084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35078150 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD36487 South Carolina

Profile Details

NPI number 1750386975
LBN Legal business name Farooki, Shella
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386975 NPPES
Ohio MEDICAID 2196369

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