Dr Rubaiya Faruque, | |
4190 24th Ave Ste 208, Fort Gratiot, MI 48059-3884 | |
(810) 216-4400 | |
Not Available |
Full Name | Dr Rubaiya Faruque |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4190 24th Ave Ste 208, Fort Gratiot, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184204281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101028118 (Michigan) | Primary |
Entity Name | Port Huron Physicians Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598141640 PECOS PAC ID: 0840507802 Enrollment ID: O20150923002611 |
Mailing Address | Practice Location Address |
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Dr Rubaiya Faruque, 4190 24th Ave Ste 208, Fort Gratiot, MI 48059-3884 Ph: (810) 216-4400 | Dr Rubaiya Faruque, 4190 24th Ave Ste 208, Fort Gratiot, MI 48059-3884 Ph: (810) 216-4400 |
Farrukh Zaman Naqvi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Daniel C Souphis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Dr. Julie A Boutt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Christopher J Borgiel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Gail F Mcintyre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3061 Commerce Dr, Suite 5, Fort Gratiot, MI 48059 Phone: 810-385-6663 Fax: 810-385-6322 | |
Jude L Stratford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Stoney Ridge Dr, Fort Gratiot, MI 48059 Phone: 810-385-2295 |