Provider Demographics
NPI:1518522093
Name:JAMAL D FARHAN, M.D., P.C.
Entity Type:Organization
Organization Name:JAMAL D FARHAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:FARHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-720-0366
Mailing Address - Street 1:1020 CHARTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3584
Mailing Address - Country:US
Mailing Address - Phone:810-732-9288
Mailing Address - Fax:
Practice Address - Street 1:1020 CHARTER DR STE A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3584
Practice Address - Country:US
Practice Address - Phone:810-732-9288
Practice Address - Fax:810-239-3925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty