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NPI Code Detail

MEDICARE: AMAL FARID HADID PA

MEDICARE: AMAL FARID HADID PA
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
1363A00000XPhysician Assistant5601007141MI

General Provider Information

NPI Number : 1962803742
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL FARID HADID PA
Provider Business Mailing Address
First Line : 9850 HAGGERTY RD
Second Line :
City : VAN BUREN TOWNSHIP
State : MI
Zip : 48111-3443
Country : US
Telephone Number : 734-699-3080
Fax Number : 734-699-3946
Provider Business Practice Location Address
First Line : 1213 MASON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2841
Country : US
Telephone Number : 313-278-2800
Fax Number : 313-278-0030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 03/22/2026

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Directions to “ AMAL FARID HADID PA” Practice Location

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