Individual
DR. FARID T FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309-3712
(248) 844-5690
(248) 844-5691
Mailing address
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309-3712
(248) 844-5690
(248) 844-5691
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
FF072629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634811
BCBSM
MI
01
—
4301072629
STATE LICENSE
MI
01
—
5315009042
CONTROLLED DRUG LICENSE
MI
Enumeration date
08/25/2006
Last updated
06/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us