Provider Demographics
NPI:1902809312
Name:AFRIDI, MOHAMMAD FAROOQ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:FAROOQ
Last Name:AFRIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:419-482-6800
Mailing Address - Fax:419-482-6993
Practice Address - Street 1:5705 MONCLOVA RD
Practice Address - Street 2:STE 205
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1877
Practice Address - Country:US
Practice Address - Phone:419-482-6800
Practice Address - Fax:419-482-6993
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHOH35045802A2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0554761Medicaid
OH0554761Medicaid
OH0515651Medicare ID - Type Unspecified