Organization
ALI A FADEL MD PC
Active
Other names
bingham medical center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI A FADEL M.D. (PRESIDENT)
(313) 581-4450
Entity
Organization
Contact information
Practice address
13244 W WARREN AVE, SUITE 1, DEARBORN, MI 48126-1415
(313) 581-4450
(313) 581-7560
Mailing address
13244 W WARREN AVE, SUITE 1, DEARBORN, MI 48126-1415
(313) 581-4450
(313) 581-7560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048691
MI
207R00000X
Internal Medicine Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H226120
BLUE CROSSS BLUE SHIELD
MI
Enumeration date
07/05/2006
Last updated
08/13/2013
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