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NPI Code Detail

MEDICARE: FAROUK SALAHI M.D.

MEDICARE: FAROUK SALAHI M.D.
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 Physician4301051155MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10636090OTHERMIBCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30636090OTHERMIBCBS
4E25878OTHERMIHAP

General Provider Information

NPI Number : 1750340576
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAROUK SALAHI M.D.
Provider Business Mailing Address
First Line : 67200 VAN DYKE RD
Second Line : SUITE 202
City : WASHINGTON
State : MI
Zip : 48095-1463
Country : US
Telephone Number : 586-752-9895
Fax Number : 586-752-0740
Provider Business Practice Location Address
First Line : 2708 S ROCHESTER RD
Second Line : SUITE B
City : ROCHESTER HILLS
State : MI
Zip : 48307-4577
Country : US
Telephone Number : 248-852-0797
Fax Number : 586-752-0740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 08/31/2007

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