Iftikhar, Farah

Iftikhar, Farah is an individual health care provider with primary practice located at 15777 Northline Rd , Southgate MI 48195-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Iftikhar, Farah can be contacted via phone (734) 324-7800.

Contact Information

Primary practice address
15777 Northline Rd Southgate MI 48195-2385
Fax: (734) 324-7801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301063833 Michigan

Profile Details

NPI number 1376542035
LBN Legal business name Iftikhar, Farah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 30th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376542035 NPPES
Massachusetts MEDICAID 4113737
Massachusetts MEDICAID 4899542
Massachusetts Other P00477490
Massachusetts MEDICAID 4725187
Massachusetts MEDICAID 4932914
Massachusetts MEDICAID 4843690
Massachusetts MEDICAID 4603200
Massachusetts MEDICAID 4995682

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