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Nada Fanous, M.D.

Internal Medicine, Endocrinology, Diabetes & Metabolism in Ann Arbor, MI. Individual provider (NPI-1).

NPI number1295140366
StatusActive
Last updated in NPPESDec 22, 2022

Details

NPI
1295140366
Entity type
Individual (NPI-1)
Name
Nada Fanous
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2014
Certification date
Dec 22, 2022
Last updated
Dec 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism4301508126MIYes
207R00000X Internal MedicineTRN20606FL

Practice location

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

Phone 734-647-5871

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

Other practice locations

1600 Sw Archer Rd
Gainesville, FL 32610-3003

Phone 352-265-0239 · Fax 352-265-1107

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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