Provider Demographics
NPI:1568997062
Name:EL-BABA, FIRAS MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:FIRAS
Middle Name:MOHAMMED
Last Name:EL-BABA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 SEQUOIA CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1835
Mailing Address - Country:US
Mailing Address - Phone:248-953-0796
Mailing Address - Fax:
Practice Address - Street 1:4201 SAINT ANTOINE ST # 5C
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2153
Practice Address - Country:US
Practice Address - Phone:248-953-0796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-22
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program