Individual provider · NPI-1

Dr. Fakhr Abou-Rass, M.D.

Internal Medicine · Troy, MI

NPI number1306195680
StatusActive
Last updated in NPPESOct 31, 2013

Details

NPI
1306195680
Entity type
Individual (NPI-1)
Name
Dr. Fakhr Abou-Rass
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 3, 2012
Last updated
Oct 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301036230MIYes
207RX0202X Internal Medicine, Medical Oncology36230MI

Practice location

500 Kirts Blvd
Suite 200
Troy, MI 48084-4134

Phone 248-824-6060 · Fax 248-686-0772

Mailing address

Po Box 1239
Troy, MI 48099-1239

Phone 248-824-6600 · Fax 248-324-1477

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