Healthcare Provider Details

I. General information

NPI: 1962668756
Provider Name (Legal Business Name): CARING PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7249 CHASE RD
DEARBORN MI
48126-1301
US

IV. Provider business mailing address

7249 CHASE RD
DEARBORN MI
48126-1301
US

V. Phone/Fax

Practice location:
  • Phone: 313-846-8800
  • Fax: 313-846-0884
Mailing address:
  • Phone: 313-846-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301072566
License Number StateMI

VIII. Authorized Official

Name: DR. AZRA HASHMI
Title or Position: PRESIDENT
Credential: MD
Phone: 313-846-8800