Organization
KAMAL FAHIM, M.D., P.L.C.
Active
Organization
KAMAL FAHIM, M.D., P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL FAHIM M.D. (SOLE MEMBER)
(810) 989-7702
Entity
Organization
Contact information
Practice address
4190 24TH AVE STE 204, FORT GRATIOT, MI 48059-3884
(810) 989-7702
(810) 989-7703
Mailing address
4190 24TH AVE STE 204, FORT GRATIOT, MI 48059-3884
(810) 989-7702
(810) 989-7703
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301090236
MI
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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