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Individual

FARNOOSH SOKHANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-6064
(248) 898-5490
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
26915
AL
2085R0202X
Diagnostic Radiology Physician
Primary
4301075044
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933903
AL
05
009933904
AL
05
009933906
AL
05
009933907
AL
05
009937046
AL
01
051530582
BLUE CROSS
AL
01
051530583
BLUE CROSS
AL
01
051530584
BLUE CROSS
AL
01
051530585
BLUE CROSS
AL
01
051534463
BLUE CROSS
AL
01
2483384
MISSISSIPPI MEDICAID
MS
01
P00263169
RAILROAD MEDICARE
AL
01
P00263170
RAILROAD MEDICARE
AL
Enumeration date
07/18/2006
Last updated
10/07/2022
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