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Individual
FAESAL ELBAKOUSH
Active
Individual
FAESAL ELBAKOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301106817
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
110897
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301106817
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
79871
AZ
Other
Enumeration date
11/17/2014
Last updated
07/21/2026
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