Healthcare Provider Details

I. General information

NPI: 1841811882
Provider Name (Legal Business Name): HUMZA MEDICAL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27207 LAHSER SUITE 200B
SOUTHFIELD MI
48034-8407
US

IV. Provider business mailing address

17177 N LAUREL PARK DR SUITE 439
LIVONIA MI
48152-3938
US

V. Phone/Fax

Practice location:
  • Phone: 248-799-4300
  • Fax: 248-358-5125
Mailing address:
  • Phone: 734-462-0340
  • Fax: 734-462-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ZUHAIR AEJAZ
Title or Position: PRESIDENT
Credential: MD
Phone: 248-977-0969