Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 5101017198 | MI |
NPI | 1003013913 |
---|---|
Provider Name | Dr. Mona Y Fakih |
First Address | Dearborn Heights, MI 48127-4124 |
Second Address | Dearborn Heights, MI 48127-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 26/11/2013 |