Provider Demographics
NPI:1861571150
Name:FAHIMI, FERESHTEH (MD)
Entity type:Individual
Prefix:
First Name:FERESHTEH
Middle Name:
Last Name:FAHIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SPB 1200 E MICHIGAN AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-484-4900
Mailing Address - Fax:517-484-4508
Practice Address - Street 1:SPB 1200 E MICHIGAN AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-484-4900
Practice Address - Fax:517-484-4508
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI33329207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology