Individual
FAREEA KHALIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1203
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1811481435
MI
2081P0004X
Spinal Cord Injury Medicine Physician
1015240
MA
Other
Enumeration date
06/18/2018
Last updated
11/15/2023
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