Farnaz Adibi, M.D

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Canton, MI

NPI 1275984239 · NPPES record last updated Jun 30, 2016

Key facts

NPI
1275984239
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1600 S Canton Center Rd
Suite 220
Canton, MI 48188-1992
Phone
(734) 398-8790
Fax
(734) 398-8680
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1600 S Canton Center Rd
Suite 220
Canton, MI 48188-1992

Mailing address

1600 S Canton Center Rd
Suite 220
Canton, MI 48188-1992

Other providers in Canton, MI

All providers in Canton, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.