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FAYEZ SHUKAIRY MD PC NPI 1053630319


NPI Information

NPI: 1053630319
Provider Name: FAYEZ SHUKAIRY MD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1050 S MILFORD RD
SUITE 105
HIGHLAND, MI
ZIP 48357
Phone: (248) 887-6997
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FAYEZ SHUKAIRY MD PC is a family medicine in Highland, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAYEZ SHUKAIRY MD PC NPI is 1053630319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1050 S MILFORD RD
SUITE 105
HIGHLAND, MI
ZIP 48357-878
Phone: (248) 887-6997
Fax: (248) 889-2696

The provider's authorized official is Janet Marie Wright .
The authorized official title is Manager and has the following contact phone number (248) 887-6997.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 11/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12115509MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.