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NPI Code Detail

MEDICARE: RIBHI HAZIN M.D.

MEDICARE:   RIBHI  HAZIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301097437MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265747463
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIBHI HAZIN M.D.
Provider Business Mailing Address
First Line : PO BOX 393
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-0393
Country : US
Telephone Number : 734-699-2900
Fax Number : 313-731-0213
Provider Business Practice Location Address
First Line : 3611 CARPENTER ST STE 5
Second Line :
City : DETROIT
State : MI
Zip : 48212-2784
Country : US
Telephone Number : 313-733-8286
Fax Number : 313-826-0899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 10/26/2022

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