| Doctor Name: | FAISAL M SHAREEFUDDIN |
| NPI Number: | 1538212485 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | FS082421 |
| Business Practice Address: | 11111 Hall Rd Suite 300 Utica, MI - 483175711 |
| Business Phone Number: | 5863232181 |
| Business Fax Number: | 5863232184 |
| Mailing Address: | Po Box 1500, NOVI |
| State: | MI |
| Postal Code: | 483761500 |
| Phone Number: | 2485925138 |
| Fax Number: | 2485925138 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 12/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | FS082421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |