MICHAEL S FAKHRAEE MD NPI 1215973565

NPI Information

  • NPI: 1215973565
  • Provider Name: MICHAEL S FAKHRAEE, MD
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7500 CENTRAL AVE
    SUITE 101
    PHILADELPHIA, PA
    ZIP 19111
  • Phone: (215) 728-8200

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NPI Details

Michael S Fakhraee, MD is a surgery of the hand plastic surgery in Philadelphia, PA. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Michael S Fakhraee, MD NPI is 1215973565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7500 CENTRAL AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19111-431
Phone: (215) 728-8200
Fax: (215) 725-3209

The NPI 1215973565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 2/29/2008.

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
12082S0105XPlastic SurgerySurgery of the HandMD018776EPENNSYLVANIAYes

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
1400138MEDICARE PINPENNSYLVANIA
20052487000OTHERPENNSYLVANIAKEYSONE HEALTH PLAN EAST
3400138OTHERPENNSYLVANIAFEDERAL BLUE CROSS
4400138OTHERPENNSYLVANIAPERSONAL CHOICE
5400138OTHERPENNSYLVANIABLUE CROSS &BLUE SHIELD

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: 3/30/2025

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