Healthcare Provider Details

I. General information

NPI: 1881959146
Provider Name (Legal Business Name): SARAH RAMIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOPSITAL OF MI 3901 BEAUBIEN ST, 2ND FL - CARL'S BUILDING
DETROIT MI
48201-2119
US

IV. Provider business mailing address

2025 FOX HILL DR APT 7
GRAND BLANC MI
48439-5234
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-4405
  • Fax: 313-966-0665
Mailing address:
  • Phone: 571-327-9105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number4301100547
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301100547
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301100547
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: