Healthcare Provider Details

I. General information

NPI: 1164344586
Provider Name (Legal Business Name): HAYA S ABAZID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25748 GRACELAND CIR
DEARBORN HEIGHTS MI
48125-1067
US

IV. Provider business mailing address

25748 GRACELAND CIR
DEARBORN HEIGHTS MI
48125-1067
US

V. Phone/Fax

Practice location:
  • Phone: 313-399-2282
  • Fax:
Mailing address:
  • Phone: 313-399-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302415797
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: