Organization
CONSULTANTS IN SLEEP & PULMONARY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED WASEEM FARRA M.D. (OWNER)
(248) 350-2722
Entity
Organization
Contact information
Practice address
29275 W 10 MILE RD, FARMINGTON HILLS, MI 48336-2817
(248) 350-2722
(248) 350-0154
Mailing address
29275 W 10 MILE RD, FARMINGTON HILLS, MI 48336-2817
(248) 350-2722
(248) 350-0154
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37521
BLUE CROSS BLUE SHIELD
MI
01
—
CH9759
RAILROAD MEDICARE
MI
Enumeration date
11/16/2006
Last updated
12/14/2011
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