Faesal Elbakoush

Individual Active
NPI 1336545417
Neonatal-Perinatal Medicine Physician Detroit, MI

NPI 1336545417 belongs to Faesal Elbakoush, a neonatal-perinatal medicine physician with a practice location in Detroit, MI. The NPI was issued on November 17, 2014, and the record was last updated in NPPES on July 21, 2026. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician Primary 2080N0001X 4301106817 (MI)
Neonatal-Perinatal Medicine Physician 2080N0001X 110897 (GA)
Pediatrics Physician 208000000X 4301106817 (MI)
Neonatal-Perinatal Medicine Physician 2080N0001X 79871 (AZ)

Practice location

22101 Moross Rd Fl CCB5
Detroit, MI 48236-2148
Phone: (313) 343-4000

Local context

Active NPPES records list 65 providers with neonatal-perinatal medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 33 of them within 10 miles.

The same primary taxonomy is listed by 178 in Michigan and 8,470 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Nearby providers with the same primary taxonomy

Record history

Name on record
Faesal Elbakoush
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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