Individual
DR. DANIEL K FAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30701 WOODWARD AVE STE 301, ROYAL OAK, MI 48073-0987
(248) 861-2710
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034-0000
(877) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301085647
MI
207T00000X
Neurological Surgery Physician
BP10025225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140F329410
BCBS
MI
Enumeration date
01/12/2010
Last updated
02/21/2023
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