Individual
DR. FARAH TANVEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170
(734) 335-6103
(734) 404-5317
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301108931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811277957
—
MI
Enumeration date
08/21/2011
Last updated
07/02/2018
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