Malik Umer Farooq, M.D.
Psychiatry & Neurology, Psychiatry in Fort Worth, TX. Individual provider (NPI-1).
NPI number1396119855
StatusActive
Last updated in NPPESMay 16, 2020
Details
- NPI
- 1396119855
- Entity type
- Individual (NPI-1)
- Name
- Malik Umer Farooq
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2015
- Certification date
- May 16, 2020
- Last updated
- May 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | R9610 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1500 S Main StFort Worth, TX 76104-4917
Phone 817-702-1661 · Fax 817-927-1668
Mailing address
1500 S Main StFort Worth, TX 76104-4917
Phone 817-702-1661 · Fax 817-927-1668
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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