Organization
MICHAEL S FAKHRAEE MD ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S FAKHRAEE MD (PRESIDENT)
(215) 728-8200
Entity
Organization
Contact information
Practice address
7500 CENTRAL AVE, SUITE 101, PHILADELPHIA, PA 19111-2430
(215) 728-8200
(215) 725-3209
Mailing address
7500 CENTRAL AVE, SUITE 101, PHILADELPHIA, PA 19111-2430
(215) 728-8200
(215) 725-3209
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052487000
KEYSTONE HEALTH PLAN EAS
PA
01
—
400138
INDEPENDENCE BCBS
PA
Enumeration date
03/08/2007
Last updated
04/01/2008
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