Individual
RAEF A FADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1888
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101026376
MI
207RC0000X
Cardiovascular Disease Physician
5101026376
MI
207RI0011X
Interventional Cardiology Physician
Primary
5101026376
MI
Other
Enumeration date
03/30/2018
Last updated
05/04/2026
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