Provider Demographics
NPI:1053806125
Name:WARRAICH, FAIZA H (MD)
Entity type:Individual
Prefix:
First Name:FAIZA
Middle Name:H
Last Name:WARRAICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4989 GENESEE ST APT 522
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5573
Mailing Address - Country:US
Mailing Address - Phone:520-258-8785
Mailing Address - Fax:
Practice Address - Street 1:135 GRANT ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1604
Practice Address - Country:US
Practice Address - Phone:716-881-4300
Practice Address - Fax:716-881-5300
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311417207R00000X
MI4301115922207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine