Healthcare Provider Details

I. General information

NPI: 1003207465
Provider Name (Legal Business Name): CARING PEDIATRICS 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2015
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25412 GODDARD RD
TAYLOR MI
48180-6200
US

IV. Provider business mailing address

25412 GODDARD RD
TAYLOR MI
48180-6200
US

V. Phone/Fax

Practice location:
  • Phone: 313-292-4110
  • Fax: 313-292-9512
Mailing address:
  • Phone: 313-292-4110
  • Fax: 313-292-9512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AZRA HASHMI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 313-846-8800