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Individual
FATINA MASRI
Active
Individual
FATINA MASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301053444
MI
208D00000X
General Practice Physician
Primary
FM053444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808276302
BCBS IND
MI
05
—
1013180322
—
MI
Enumeration date
04/08/2008
Last updated
03/10/2020
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