Healthcare Provider Details

I. General information

NPI: 1174198535
Provider Name (Legal Business Name): ZAHRA JABEEN SARFARAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22201 MOROSS RD STE 270
DETROIT MI
48236-2175
US

IV. Provider business mailing address

425 S ETON ST
BIRMINGHAM MI
48009-6524
US

V. Phone/Fax

Practice location:
  • Phone: 313-343-3481
  • Fax:
Mailing address:
  • Phone: 304-919-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301512962
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: