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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
1207RC0000XCardiovascular Disease Physician4301060425MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31108235471OTHERMIBCBS

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

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