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Contact Information

RUBAIYA FARUQUE
4190 24TH AVE STE 208
FORT GRATIOT TOWNSHIP, MI48059-3884
 Phone: 810-216-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUBAIYA FARUQUE · (Female)

NPI # 1184204281
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2021
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101028118
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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