Healthcare Provider Details

I. General information

NPI: 1336077007
Provider Name (Legal Business Name): ABDERRAHMAN BELFAKIH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 JOHN R ST STE 510
DETROIT MI
48201-2021
US

IV. Provider business mailing address

VICTORY HEIGHTS MORELLA 25
DUBAI DUBAI
00000
AE

V. Phone/Fax

Practice location:
  • Phone: 442-421-4222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number81022366
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: