NPIMap

Organization Active NPI

Rafeek M Farah MD PC

Doing business as Farah Medical Clinic

  • Family Medicine Physician
  • Trenton, MI
National Provider Identifier
1881852887
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301034322 Issued in MI
Legal business name
RAFEEK M FARAH MD PC
Doing business as
Farah Medical Clinic
Practice address
2105 West Rd
Trenton, MI 48183-3897
Phone
(734) 675-7777
Fax
(734) 675-7785
NPI assigned
May 27, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Rafeek Mahmoud Farah, MD
Title
Owner
Phone
(734) 675-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301034322 MI Primary

Addresses

Primary practice location

2105 West Rd
Trenton, MI 48183-3897

Mailing address

2105 West Rd
Trenton, MI 48183-3897
Phone (734) 675-7777

Other identifiers 2

IdentifierTypeStateIssuer
0P58180OtherMIMEDICARE P-TAN
2104935MedicaidMI

Other names 1

  • Farah Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2105 West Rd
Trenton, MI 48183
Phone (734) 675-7777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1881852887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833897",
            "telephone_number": "734-675-7777",
            "fax_number": "734-675-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833897",
            "telephone_number": "734-675-7777",
            "fax_number": "734-675-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFEEK M FARAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "RAFEEK",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-675-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301034322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "0P58180",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farah Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.