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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EBRAHIM FAYAZI MD
NPI 1962440040
Obstetrics & Gynecology in Detroit, MI

Active since June 02, 2006
6071 W OUTER DR, DETROIT, MI 48235(313) 966-3246 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, May 19, 2022 (2 updates tracked since 2022).

About Dr. Ebrahim Fayazi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EBRAHIM FAYAZI MD (NPI 1962440040) is an individual obstetrics & gynecology provider in Detroit, Michigan, licensed in Michigan (4301035534) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1962440040
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EBRAHIM FAYAZICredential: MD
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing AddressPo Box 321061Detroit, MI 48232-1061 · (248) 543-8070 · Fax (248) 543-9005
Phone(313) 966-3246
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1962440040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301035534
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6071 W OUTER DR, Detroit, MI 48235
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Other Identifiers 1

Medicaid4192660MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebrahim Fayazi's NPI number?

The NPI number for Ebrahim Fayazi is 1962440040. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Ebrahim Fayazi located?

Ebrahim Fayazi practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-3246.

What is Ebrahim Fayazi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Ebrahim Fayazi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.