Delly, Fadi H

Delly, Fadi H is an sole proprietor health care provider with primary practice located at 2211 Fort St , Wyandotte MI 48192-4135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Delly, Fadi H can be contacted via phone (734) 357-0505.

Contact Information

Primary practice address
2211 Fort St Wyandotte MI 48192-4135
Fax: (734) 357-0506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301094922 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301094922 Michigan

Profile Details

NPI number 1104137967
LBN Legal business name Delly, Fadi H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2010
Last updated Dec 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104137967 NPPES
Michigan Other 4301094922 MEDICAL LICENSE

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