Provider / Organization | NPI | Date Certified |
---|---|---|
ALYSSA MUHSANA FAROOQUE | 1821625674 | 2024-10-13 |
Alyssa Muhsana Farooque is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821625674. Registration indicates Alyssa Muhsana Farooque is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Alyssa Muhsana Farooque MD |
Practice Office Address | 1850 TOWN CENTER PKWY RESTON, VA US |
Practice Office Telephone | 7036899000 |
Mailing Address | PO BOX 2728 RESTON, VA 201950728 US |
Business Telephone | 7034710919 |
Code | Practice | License No State |
---|---|---|
207L00000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 0101281457
VA |