Ziyad Faraj
Individual provider Active NPI Driver · Dearborn, MI
NPI 1790233229 · NPPES record last updated Sep 13, 2016
Key facts
- NPI
- 1790233229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- F620982461537 (MI)
- Practice address
- 651 N Waverly St
Dearborn, MI 48128-1627 - Phone
- (313) 995-1738
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F620982461537 | MI | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F620982461537 | MI | Yes |
Addresses
Primary practice location
651 N Waverly St
Dearborn, MI 48128-1627
Mailing address
651 N Waverly St
Dearborn, MI 48128-1627
Phone (313) 995-1738
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.