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Individual

FARAH UBAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 805-0477
(866) 250-6385
Mailing address
18101 OAKWOOD BLVD, EMERGENCY MEDICINE DEPARTMENT, DEARBORN, MI 48124-4089
(313) 593-8780
(313) 436-2864

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301073757
MI
207R00000X
Internal Medicine Physician
4301073757
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301073757
PHYSICIAN LICENSE
MI
Enumeration date
08/16/2006
Last updated
05/18/2010
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