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1962440040
EBRAHIM FAYAZI
DETROIT, MI
NPI
1962440040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301035534)
Enumeration Date
2006-06-02
Last Update Date
2023-11-29
Business Address
Dr. EBRAHIM FAYAZI MD
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3246
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Mailing Address
Dr. EBRAHIM FAYAZI MD
PO BOX 321061
DETROIT, MI 48232-1061
Phone number: 248-543-8070
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