Healthcare Provider Details

I. General information

NPI: 1679164917
Provider Name (Legal Business Name): RAND ZAEEM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32910 MIDDLEBELT RD
FARMINGTON HILLS MI
48334-1774
US

IV. Provider business mailing address

5274 POND BLUFF DR
WEST BLOOMFIELD MI
48323-2442
US

V. Phone/Fax

Practice location:
  • Phone: 248-973-9002
  • Fax:
Mailing address:
  • Phone: 248-977-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302413188
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: