Fadi Khalil Al Daoud, M.D

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301099686 Issued in MI

Practice address

4160 John R St
Suite 930
Detroit, MI 48201-2020

Phone

(313) 966-5007

Fax

(313) 966-0368

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1487903910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-966-5007",
            "fax_number": "313-966-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-966-5007",
            "fax_number": "313-966-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL DAOUD",
        "first_name": "FADI",
        "middle_name": "KHALIL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301099686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morhaf Al Achkar, MD
• Shada Al Anani, MD
• Rola Bassam Al Assi
• Balsam Al Balaghi, P.A.
• Randa Al Barazi, MD
• Rayan M Al Edreesi, BDS
• Mona Abdullah Al Fares, M.D.
• Farah Mohammed Al Haj, M.D.
• Mohammed Najeeb Al Hallak, M.D.
• Ruyof Khaled Al Hussein

• Neurological Surgery Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.