Provider Demographics
NPI:1033239959
Name:FARHAT, ROBERT P (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:FARHAT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29275 NORTHWESTERN HWY.
Mailing Address - Street 2:STE. 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:877-784-3667
Mailing Address - Fax:248-869-3982
Practice Address - Street 1:43475 DALCOMA DR
Practice Address - Street 2:STE. 150
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-3591
Practice Address - Country:US
Practice Address - Phone:586-421-7440
Practice Address - Fax:586-408-6071
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2013-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015262208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation