Faid Sami Dabaja
Individual provider Active NPI Pharmacist · Melvindale, MI
NPI 1861023152 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1861023152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302046312 (MI)
- Practice address
- 18340 Allen Rd
Melvindale, MI 48122-1560 - Phone
- (313) 928-2559
- NPI assigned
- Jan 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5302046312 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302046312 | MI | Yes |
Addresses
Primary practice location
18340 Allen Rd
Melvindale, MI 48122-1560
Mailing address
5816 Oakman Blvd
Dearborn, MI 48126-2326
Phone (313) 674-6661
Other providers in Melvindale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. 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.