Farooqui, Nishaat
Farooqui, Nishaat is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 401 , Mishawaka IN 46545-1468. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Farooqui, Nishaat can be contacted via phone (574) 335-6242.Contact Information
Primary practice address
611 E Douglas Rd Ste 401
Mishawaka IN 46545-1468
Phone: (574) 335-6242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01086445A | Indiana |
Profile Details
| NPI number | 1184128498 |
|---|---|
| LBN Legal business name | Farooqui, Nishaat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184128498 | NPPES |
| Indiana | MEDICAID | 300054073 |
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