Individual
DR. FOUAD BATAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 200, SOUTHFIELD, MI 48034-7659
(248) 354-0730
(248) 354-1652
Mailing address
29877 TELEGRAPH RD, SUITE 200, SOUTHFIELD, MI 48034-7659
(248) 354-0730
(248) 354-1652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301060202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632811
BCBS INDVIDUAL
MI
01
—
103243
GREAT LAKES HEALTH PLAN
MI
05
—
1285618983
—
MI
01
—
700F314390
BLUE SHIELD
MI
01
—
F253
M'CARE
MI
Enumeration date
12/06/2005
Last updated
05/26/2015
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