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NPI Code Detail

MEDICARE: DR. RODOLFO D FARHY MD

MEDICARE: DR. RODOLFO D FARHY MD
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
1207RC0000XCardiovascular Disease Physician4301061075MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2060631727OTHERMIBCBSM

General Provider Information

NPI Number : 1477542579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODOLFO D FARHY MD
Provider Business Mailing Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-655-4490
Fax Number : 248-655-4491
Provider Business Practice Location Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-655-4490
Fax Number : 248-655-4491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 12/20/2013

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