| Joseph Walid Fakhoury, | |
| 2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-2889 | |
| Not Available | 
| Full Name | Joseph Walid Fakhoury | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 2799 W Grand Blvd, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457973042 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 4301511917 (Michigan) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Henry Ford Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730252339 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000124 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph Walid Fakhoury, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2889 | Joseph Walid Fakhoury, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2889 | 
| Dr. Laurie Linden Kohen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2171 | |
| James A Brown, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 22151 Moross, Suite 234, Detroit, MI 48236 Phone: 313-885-5110 Fax: 313-885-8755 | |
| David M. Ozog, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2454 | |
| Dr. Emily L. Keimig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171 | |
| Dr. Alison Tisack Boucher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2151 | |
| Marsha L. Chaffins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 Phone: 313-916-2454 | |
| Dr. Snehal R Desai, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171 |