Individual
DR. RODOLFO D FARHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18915 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2575
(248) 655-4490
(248) 655-4491
Mailing address
18915 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2575
(248) 655-4490
(248) 655-4491
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301061075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060631727
BCBSM
MI
05
—
4573601-01
—
MI
Enumeration date
10/20/2005
Last updated
12/20/2013
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