Individual
DR. FARAH IFTIKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 324-7800
(734) 324-7801
Mailing address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 324-7800
(734) 324-7801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301063833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113737
—
MA
05
—
4603200
—
MI
05
—
4725187
—
MI
05
—
4843690
—
MI
05
—
4899542
—
MI
05
—
4932914
—
MI
05
—
4995682
—
MI
01
—
P00477490
RAILROAD MEDICARE
MI
Enumeration date
07/15/2005
Last updated
03/30/2011
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