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

Samuel T. Fawaz, MD

Individual provider Internal Medicine Physician · NPI 1295945996

Samuel T. Fawaz, MD is an Internal Medicine in Livonia, Michigan. Qualified in 2003, 23 years ago. Practices with Iha Olma Primary Non Risk LLC, a 15-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Michigan.

Years since qualifying
23
Licensed in
FL, MI
In the registry since
2007
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 Partly verified

Some contact details are missing from the federal record.

Trinity Health Iha Medical Group Primary Care Freedom 20206 Farmington Rd
Livonia, MI 48152
Phone: (248) 476-4724
Fax: (248) 476-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17392 W 13 Mile Rd, Beverly Hills, MI 48025-5438 — (248) 646-8166
  • 3601 W 13 Mile Rd, Royal Oak, MI 48073 — (248) 898-7999

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301084045 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME150730 (FL)

Record details

NPI number1295945996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESFebruary 29, 2024
Certification dateApril 24, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Iha Olma Primary Non Risk Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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