Healthcare Provider Details

I. General information

NPI: 1306276183
Provider Name (Legal Business Name): QAZI HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2013
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25150 FORD RD STE 100
DEARBORN HEIGHTS MI
48127
US

IV. Provider business mailing address

25150 FORD RD STE 100
DEARBORN HEIGHTS MI
48127
US

V. Phone/Fax

Practice location:
  • Phone: 734-309-9976
  • Fax:
Mailing address:
  • Phone: 734-309-9976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHSIN USMAN QAZI
Title or Position: OWNER
Credential: MD
Phone: 734-309-9976