Provider Demographics
NPI:1922339977
Name:ALFARES, SOHA (MD)
Entity Type:Individual
Prefix:
First Name:SOHA
Middle Name:
Last Name:ALFARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 HALL RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1229
Mailing Address - Country:US
Mailing Address - Phone:586-247-2700
Mailing Address - Fax:
Practice Address - Street 1:2421 MONROE ST STE 102
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3043
Practice Address - Country:US
Practice Address - Phone:313-447-0888
Practice Address - Fax:313-458-4004
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI430194675207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine