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1164648473

NPI Code Detail

MEDICARE: IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC

MEDICARE: IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC

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	207RC0000X	Cardiovascular Disease Physician	4301060425	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1108235471	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1164648473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC

Provider Business Mailing Address
First Line	:	20225 ANN ARBOR TRL
Second Line	:	SUITE A
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2690
Country	:	US
Telephone Number	:	313-529-3939
Fax Number	:	888-828-7361

Provider Business Practice Location Address
First Line	:	20225 ANN ARBOR TRL
Second Line	:	SUITE A
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2690
Country	:	US
Telephone Number	:	313-529-3939
Fax Number	:	888-828-7361

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FARID FARAJ ZAYED
Credential	:	MD
Telephone Number	:	313-945-0505

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/24/2009

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Directions to “IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC ” 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.

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