NPIMap

Organization Active NPI

Daoud Faraj PC

  • Clinic/Center
  • Dearborn, MI
National Provider Identifier
1245839752
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAOUD FARAJ PC
Practice address
13530 Michigan Ave Ste 300
Dearborn, MI 48126-3555
Phone
(313) 908-0004
Fax
(313) 908-7873
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daoud A FarajNPI 1649213463
Title
Sole Provider
Phone
(313) 701-4340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13530 Michigan Ave Ste 300
Dearborn, MI 48126-3555

Mailing address

4524 Kingston St
Dearborn Heights, MI 48125-3240
Phone (313) 682-7770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1245839752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 KINGSTON ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481253240",
            "telephone_number": "313-682-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-908-0004",
            "fax_number": "313-908-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAOUD FARAJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "DAOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "313-701-4340"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.