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NPI Code Detail

MEDICARE: FAISAL M SHAREEFUDDIN MD

MEDICARE: FAISAL M SHAREEFUDDIN 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
1208D00000XGeneral Practice PhysicianFS082421MI
2207Q00000XFamily Medicine Physician4301082421MI

General Provider Information

NPI Number : 1538212485
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAISAL M SHAREEFUDDIN MD
Provider Business Mailing Address
First Line : PO BOX 430150
Second Line :
City : PONTIAC
State : MI
Zip : 48343-0150
Country : US
Telephone Number : 248-724-7600
Fax Number : 248-724-6800
Provider Business Practice Location Address
First Line : 114 ORCHARD LAKE RD
Second Line :
City : PONTIAC
State : MI
Zip : 48341-2244
Country : US
Telephone Number : 248-724-7600
Fax Number : 248-724-6800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 01/27/2026

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Directions to “ FAISAL M SHAREEFUDDIN MD” Practice Location

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