Provider Demographics
NPI:1528261088
Name:FARAJ, CHADI H (DO)
Entity type:Individual
Prefix:DR
First Name:CHADI
Middle Name:H
Last Name:FARAJ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8338 ALLEN RD
Mailing Address - Street 2:STE 201
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1399
Mailing Address - Country:US
Mailing Address - Phone:734-324-3781
Mailing Address - Fax:
Practice Address - Street 1:7350 HORGER ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1424
Practice Address - Country:US
Practice Address - Phone:313-584-5213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017213208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery