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NPI Code Detail

MEDICARE: SAMIR ABDUL AZIZ M.D.

MEDICARE: SAMIR ABDUL AZIZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician036178406IL

General Provider Information

NPI Number : 1487227021
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIR ABDUL AZIZ M.D.
Provider Business Mailing Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 313-916-1601
Fax Number :
Provider Business Practice Location Address
First Line : 2799 WEST GRAND BOULEVARD, HENRY FORD HOSPITAL
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 313-916-1601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 03/12/2026

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Directions to “ SAMIR ABDUL AZIZ M.D.” Practice Location

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