Individual
DR. AHMAD RAFEEK FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2105 WEST ROAD, TRENTON, MI 48183
(734) 675-7777
(734) 675-7785
Mailing address
2105 WEST ROAD, TRENTON, MI 48183
(734) 675-7777
(734) 675-7785
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881852887
GROUP NPI
MI
01
—
4858218080
BC PIN
MI
01
—
50136
HEALTH PLAN OF MICHIGAN
—
01
—
5901002222
MICHIGAN STATE LICENSE
MI
01
—
9365124
PPOM COFINITY
MI
01
—
P58180002
MEDICARE PTAN
MI
Enumeration date
09/15/2006
Last updated
05/03/2011
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