Organization
FARNAZ S ABHARI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARNAZ S ABHARI MD (OWNER)
(248) 851-0500
Entity
Organization
Contact information
Practice address
4085 PONTIAC TRL, ORCHARD LAKE, MI 48323-1658
(248) 977-4628
(248) 977-4629
Mailing address
PO BOX 252743, WEST BLOOMFIELD, MI 48325-2743
(248) 231-8369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4358551
—
MI
Enumeration date
08/17/2006
Last updated
05/25/2012
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