Farooq, Mohammad Tahir

Farooq, Mohammad Tahir is an individual health care provider with primary practice located at 100 Front St Ste 280 , Conshohocken PA 19428-2891. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Farooq, Mohammad Tahir can be contacted via phone (484) 351-8459.

Contact Information

Primary practice address
100 Front St Ste 280 Conshohocken PA 19428-2891
Phone: (484) 351-8459
Fax: (484) 351-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X MD054264L Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD054264L Pennsylvania

Profile Details

NPI number 1659302123
LBN Legal business name Farooq, Mohammad Tahir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 29th, 2021 - about 5 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 1659302123 NPPES
Pennsylvania MEDICAID 01543270

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