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NPI Code Detail

MEDICARE: DR. FARIBA KHALIGHI - HICKINSON OD

MEDICARE: DR. FARIBA KHALIGHI - HICKINSON OD
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
1152W00000XOptometristFK003680MI

General Provider Information

NPI Number : 1457306425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARIBA KHALIGHI - HICKINSON OD
Provider Business Mailing Address
First Line : 516 HIGHLAND AVE
Second Line :
City : MILFORD
State : MI
Zip : 48381-1516
Country : US
Telephone Number : 248-684-1229
Fax Number : 248-684-2306
Provider Business Practice Location Address
First Line : 655 W 13 MILE RD
Second Line :
City : MADISON HTS
State : MI
Zip : 48071-1844
Country : US
Telephone Number : 248-577-3659
Fax Number : 248-588-9320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/04/2014

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