HomeNPI Verification

NPI Verification

National Provider Identifier: 1487215950

Fadi Niazy Abu-Farsakh, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

All Specialties (5)

Internal Medicine, Hospice and Palliative Medicine

Code: 207RH0002X

General Practice

Code: 208D00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Primary

Practice Address

3960 MAYFIELD AVE NE APT 2G

GRAND RAPIDS, MI 495256612

Phone: 504-478-6877

NPI Enumeration Date

June 25, 2019

NPI Number

1487215950

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry