Individual
FAHMIDA POLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12101 JOSEPH CAMPAU ST STE F, HAMTRAMCK, MI 48212-2590
(313) 893-6218
Mailing address
12101 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-2590
(313) 893-6218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101273387
VA
207Q00000X
Family Medicine Physician
Primary
4301510432
MI
207Q00000X
Family Medicine Physician
MT215117
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301510432
STATE LICENSE
MI
Enumeration date
06/04/2018
Last updated
03/05/2026
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