Laith Samir Fakhouri, MD
Internal Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1386586121
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1386586121
- Entity type
- Individual (NPI-1)
- Name
- Laith Samir Fakhouri
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2026
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4351056430 | MI | Yes |
Practice location
275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531
Phone 616-391-3777 · Fax 616-391-3755
Mailing address
275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531
Phone 616-391-3777 · Fax 616-391-3755
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