| Fadi Ibrahim, Md Pc | |
|
31313 Northwestern Hwy Ste 203 Farmington Hills MI 48334-2577 | |
| (248) 880-0123 | |
| Not Available |
| Full Name | Fadi Ibrahim, Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 31313 Northwestern Hwy Ste 203, Farmington Hills, Michigan |
| Authorized Official Name and Position | Fadi Ibrahim (PROVIDER) |
| Authorized Official Contact | 2488800123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fadi Ibrahim, Md Pc 31313 Northwestern Hwy Ste 203 Farmington Hills MI 48334-2577 Ph: (248) 880-0123 | Fadi Ibrahim, Md Pc 31313 Northwestern Hwy Ste 203 Farmington Hills MI 48334-2577 Ph: (248) 880-0123 |
| NPI Number | 1841769627 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841769627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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