MEDICARE: DR. FADY MOUSTARAH M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	2022-01683	NC
2	208600000X	Surgery Physician	35. 092350	OH
3	208600000X	Surgery Physician	4301108768	MI

General Provider Information

NPI Number	:	1134355399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FADY MOUSTARAH M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 724
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48121-0724
Country	:	US
Telephone Number	:	989-980-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	43494 WOODWARD AVE STE 202
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5054
Country	:	US
Telephone Number	:	248-334-5444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	12/18/2024

Similar Medicare Providers

1427053644 — DR. MARK A PLEATMAN M.D.
Practice Location Address:

43494 WOODWARD AVE , STE 202
BLOOMFIELD HILLS, MI
48302-5054

Practice Phone: 248-334-5444
Practice Fax: 248-334-5484

1477558450 — DR. GEORGE GRUNBERGER MD
Practice Location Address:

43494 WOODWARD AVE , STE 208
BLOOMFIELD HILLS, MI
48302-5054

Practice Phone: 248-335-7740
Practice Fax: 248-338-7979

1376981290 — CARL RUEBEN JAY JR. D.P.M.
Practice Location Address:

43494 WOODWARD AVE STE 208
BLOOMFIELD HILLS, MI
48302-5054

Practice Phone: 810-206-1402
Practice Fax:

1760073381 — MOUSTARAH HEALTH PLLC
Practice Location Address:

43494 WOODWARD AVE STE 202
BLOOMFIELD HILLS, MI
48302-5054

Practice Phone: 989-980-4995
Practice Fax:

1710957618 — DR. JULIE ANN FATTORE DDS
Practice Location Address:

39520 WOODWARD AVE , SUITE 105
BLOOMFIELD HILLS, MI
48304-5054

Practice Phone: 248-430-6331
Practice Fax: 248-556-2103

1649299504 — FIROZA B. VAN HORN, PSY., D., PC.
Practice Location Address:

39520 WOODWARD AVE , SUITE 210
BLOOMFIELD HILLS, MI
48304-5054

Practice Phone: 248-647-8412
Practice Fax:

Directions to “ DR. FADY MOUSTARAH M.D., M.P.H.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.