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Faesal Elbakoush

NPI 1336545417 · on the registry since 2014

Practice

Address
22101 Moross Rd Fl Ccb5
Detroit, MI 48236
Phone
(313) 343-4000
Organisation at this address
Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
504

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
2080N0001X
208000000X
2080N0001X
Licence states on file
GA, MI, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan