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

Farah Imad Hazim

Individual provider Dentist · NPI 1861971616

Farah Imad Hazim is a Dentist in Detroit, Michigan. Licensed in California and Michigan. Registered with an NPI since 2018.

Licensed in
CA, MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

13874 Grand River Ave
Detroit, MI 48227-3123
Phone: (313) 651-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 105876 (CA)
Dentist Taxonomy 122300000X · Licence 2901022750 (MI)

Record details

NPI number1861971616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

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