Antaki, Fadi

Antaki, Fadi is an sole proprietor health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Antaki, Fadi can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 228347 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301075826 Michigan

Profile Details

NPI number 1124127048
LBN Legal business name Antaki, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jan 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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