Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fadi Antaki, MD

Individual provider Gastroenterology Physician · NPI 1124127048

Fadi Antaki, MD is a Gastroenterology in Detroit, Michigan. Qualified in 1998, 28 years ago. Practices with Dlp Marquette Physician Practices Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
28
Licensed in
MA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301075826 (MI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 228347 (MA)

Record details

NPI number1124127048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJanuary 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Dlp Marquette Physician Practices Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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