IndividualActive
Faheem Ejaz, D.O
NPI 1679869192 · Otolaryngology/Facial Plastic Surgery Physician · Royal Oak, MI
Provider details
- NPI number
- 1679869192
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- License
- 5101019529 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
819 Irving Ave
Royal Oak, MI 48067-3308
Phone: (716) 462-3946
Approximate (ZIP-level) locationGet directions
Mailing address
819 Irving Ave
Royal Oak, MI 48067-3308
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.