Provider Demographics
NPI:1154703361
Name:AMIRI, FARHAD ALI (DO)
Entity type:Individual
Prefix:DR
First Name:FARHAD
Middle Name:ALI
Last Name:AMIRI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:18000 W 9 MILE RD STE 750
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4020
Mailing Address - Country:US
Mailing Address - Phone:248-607-7190
Mailing Address - Fax:248-607-7191
Practice Address - Street 1:18000 W 9 MILE RD STE 750
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4020
Practice Address - Country:US
Practice Address - Phone:248-607-7190
Practice Address - Fax:248-607-7191
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2024-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVDO25632084P0800X
PAOT0165702084P0800X
MI51010227252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry