Individual
DR. TARIQ ABDELRAHIM FARIS HAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD # K-7, DETROIT, MI 48202-2608
(313) 916-2405
(313) 916-6413
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301508601
MI
207RG0100X
Gastroenterology Physician
28717
WV
207RG0100X
Gastroenterology Physician
Primary
4301508601
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2013
Last updated
05/10/2023
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