Male or Other

Mohammad W. Farra MD

Pulmonary Disease Physician in Farmington Hills, MI(View on Map)

Full Name

Mohammad Waseem Farra MD

NPI Number

1609871771

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/16/2005

Specialties

(Taxonomies)

Licenses

State

Michigan

License Number

4301067318

Contact
Information

Purpose

Mailing
Location

Address

29275 W 10 MILE RD
29275 W 10 MILE RD

City

Farmington Hills
Farmington Hills

State

MI
MI

Postal Code

48336-2817
48336-2817

Country

US
US

Telephone Number

(248) 350-2722
(248) 350-2722

Identifiers

Identifier

0F37521
4292155

Identifier State

MI
MI

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/19/2012

Provider Address

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