Healthcare Provider Details

I. General information

NPI: 1861320871
Provider Name (Legal Business Name): FARWA HASAN KAZMI MD
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:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 MCAULEY DRIVE, ACADEMIC INTERNAL MEDICINE CLINIC SUITE 4001
YPSILANTI MI
48197-8633
US

IV. Provider business mailing address

APARTMENT 1607, BUILDING 948 AL-MAMZAR, DEIRA
DUBAI DUBAI
00000
AE

V. Phone/Fax

Practice location:
  • Phone: 734-712-3980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: