Individual
DR. AYAD A. FARJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 GENOA BUSINESS PARK DR STE 250, BRIGHTON, MI 48114-7006
(810) 494-2020
(810) 494-0127
Mailing address
2305 GENOA BUSINESS PARK DR, SUITE 250, BRIGHTON, MI 48114-7004
(810) 494-2020
(810) 494-0127
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
34089
IA
207W00000X
Ophthalmology Physician
4301068609
MI
207W00000X
Ophthalmology Physician
45989-020
WI
207WX0120X
Cornea and External Diseases Specialist Physician
34089
IA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
4301068609
MI
207WX0120X
Cornea and External Diseases Specialist Physician
45989-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-0-47-1724-1
BCBSM PIN#
MI
01
—
34089
PHYSICIAN LICENSE
IA
05
—
34255200
—
WI
01
—
4301068609
PHYSICIAN LICENSE
MI
01
—
45989-020
STATE LICENSE NUMBER
WI
05
—
4865295-10
—
MI
01
—
5315025069
CONTROLLED SUBSTNCE LCNSE
MI
Enumeration date
05/31/2005
Last updated
09/14/2023
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