Faris, Victor Samir

Faris, Victor Samir is an individual health care provider with primary practice located at 1010 N Campbell Rd Suite #3, Royal Oak MI 48067-1570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Faris, Victor Samir can be contacted via phone (248) 850-8395.

Contact Information

Primary practice address
1010 N Campbell Rd Suite #3 Royal Oak MI 48067-1570
Fax: (248) 850-8495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1865828 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 1865828 Michigan

Profile Details

NPI number 1275736936
LBN Legal business name Faris, Victor Samir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Sep 27th, 2011 - about 13 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 1275736936 NPPES
Michigan Other 0809306492 BCBS IND
Michigan MEDICAID 1275736936 BCBS IND

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