Healthcare Provider Details

I. General information

NPI: 1346998358
Provider Name (Legal Business Name): ZBAHA PSYCHIATRIC SERVICES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4677 ROLLING RIDGE RD
WEST BLOOMFIELD MI
48323-3343
US

IV. Provider business mailing address

4677 ROLLING RIDGE RD
WEST BLOOMFIELD MI
48323-3343
US

V. Phone/Fax

Practice location:
  • Phone: 313-810-0199
  • Fax: 702-508-2435
Mailing address:
  • Phone: 313-810-0199
  • Fax: 702-508-2435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ZAID BAHA
Title or Position: OWNER
Credential: DO
Phone: 702-508-2153