Individual provider · NPI-1

Shaheen Faruque, MD

Hospitalist · Port Charlotte, FL

NPI number1386744639
StatusActive
Last updated in NPPESOct 8, 2019

Details

NPI
1386744639
Entity type
Individual (NPI-1)
Name
Mrs. Shaheen Faruque
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2006
Last updated
Oct 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistME95171FLYes
207R00000X Internal MedicineME95171FL

Practice location

2351 Aaron St
Port Charlotte, FL 33952-5305

Phone 855-979-5700 · Fax 855-979-5701

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Phone 877-856-3774 · Fax 239-599-2612

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