Provider Type Icon

FATINA MASRI MD NPI 1013180322


NPI Information

NPI: 1013180322
Provider Name: FATINA MASRI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: MICHIGAN SPECIALTY CLINIC PLLC

PECOS Registration: Yes

Address:
13530 MICHIGAN AVE
SUITE 150
DEARBORN, MI
ZIP 48126
Phone: (313) 945-9800
Get Directions

Fatina Masri, MD is a general practice in Dearborn, MI with 41 years of experience. Fatina Masri, MD NPI is 1013180322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13530 MICHIGAN AVE
SUITE 150
DEARBORN, MI
ZIP 48126-574
Phone: (313) 945-9800
Fax: (313) 945-9184

The NPI 1013180322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 3/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear Medicine4301053444MICHIGANNo
2208D00000XGeneral PracticeFM053444MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10808276302OTHERMICHIGANBCBS IND
21013180322MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.