Individual
DR. JAMAL D. FARHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 CHARTER DR, SUITE A, FLINT, MI 48532-3584
(810) 720-0368
(810) 720-0371
Mailing address
1020 CHARTER DR, SUITE A, FLINT, MI 48532-3584
(810) 720-0368
(810) 720-0371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301068989
MI
2086S0102X
Surgical Critical Care Physician
4301068989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B56029
BLUE SHIELD OF MI
MI
05
—
3314472
—
MI
Enumeration date
07/02/2006
Last updated
12/12/2016
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