Organization
COMMUNITY FAMILY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZ RAHMAN MD (EXECUTIVE DIRECTOR)
(313) 792-1200
Entity
Organization
Contact information
Practice address
1816 GRINDLEY PARK ST, DEARBORN, MI 48124-2504
(313) 792-1200
(313) 792-1201
Mailing address
1816 GRINDLEY PARK ST, DEARBORN, MI 48124-2504
(313) 792-1200
(313) 792-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H242990
BCBS GROUP
MI
Enumeration date
07/10/2007
Last updated
10/10/2011
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