Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadi Antaki, MD

Individual provider Gastroenterology Physician · NPI 1124127048

Fadi Antaki, MD is a Gastroenterology in Detroit, Michigan. Qualified in 1998, 28 years ago. Practices with Dlp Marquette Physician Practices Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
28
Licensed in
MA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301075826 (MI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 228347 (MA)

Record details

NPI number1124127048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJanuary 26, 2018
Mailing address580 W College Ave, Marquette, MI 49855-2736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Dlp Marquette Physician Practices Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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