Healthcare Provider Details

I. General information

NPI: 1346178530
Provider Name (Legal Business Name): ZOHA BATOOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 STEWART RD
MONROE MI
48162-4222
US

IV. Provider business mailing address

650 STEWART RD
MONROE MI
48162-4222
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-8430
  • Fax:
Mailing address:
  • Phone: 734-968-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4351056758
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: