Basic Information
Provider Information
NPI: 1568431187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARUKHI
FirstName: ZAREEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 375 BOYLSTON ST
Address2:  
City: BROOKLINE
State: MA
PostalCode: 024456007
CountryCode: US
TelephoneNumber: 8573070896
FaxNumber:  
Practice Location
Address1: 900 COMMONWEALTH AVE STE 3
Address2:  
City: BOSTON
State: MA
PostalCode: 022151200
CountryCode: US
TelephoneNumber: 6177325500
FaxNumber: 6177313843
Other Information
ProviderEnumerationDate: 03/16/2006
LastUpdateDate: 05/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X226784MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X226784MAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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