| Dr Farouk Anwarul Raquib, MD | |
|
125 Bob Lawrence Drive, Winfield, AL 35594 | |
| (205) 487-4535 | |
| Not Available |
| Full Name | Dr Farouk Anwarul Raquib |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 125 Bob Lawrence Drive, Winfield, Alabama |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477511194 | NPI | - | NPPES |
| 051553562 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 16185 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | MD.16185 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Farouk A Raquib Md Pc | 4688864440 | 5 |
| Med 360 Urgent Care Northport Llc | 5193180297 | 2 |
| Entity Name | Farouk A Raquib Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760531479 PECOS PAC ID: 4688864440 Enrollment ID: O20101104000149 |
| Entity Name | Med 360 Urgent Care Northport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073238747 PECOS PAC ID: 5193180297 Enrollment ID: O20230425000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Farouk Anwarul Raquib, MD Po Box 1140, Winfield, AL 35594-1140 Ph: (205) 487-4535 | Dr Farouk Anwarul Raquib, MD 125 Bob Lawrence Drive, Winfield, AL 35594 Ph: (205) 487-4535 |
Mr. Gary Matthew Fowler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 Caraway Dr, Suite A, Winfield, AL 35594 Phone: 205-487-1586 Fax: 205-487-1589 | |
Maury P Minton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2775 Us Highway 43, Winfield, AL 35594 Phone: 205-487-2066 Fax: 205-487-0383 | |
Dr. Brent G Ballard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2775 Us Highway 43, Winfield, AL 35594 Phone: 205-487-2066 Fax: 205-487-0383 | |
Jarred L Sartain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Carraway Dr Ste B2, Winfield, AL 35594 Phone: 205-487-7556 Fax: 205-487-7559 |