Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301057207 | MI |
NPI | 1073584223 |
---|---|
Provider Name | Dr. Fahd Al-Saghir |
First Address | Pontiac, MI 48341-5045 |
Second Address | Pontiac, MI 48341-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 09/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3415143 | (05) | MI |
G15728 | (02) |