MEDICARE: DR. HAMZA A AURAKZAI 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	4301104784	MI

General Provider Information

NPI Number	:	1295152288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMZA A AURAKZAI M.D.

Provider Business Mailing Address
First Line	:	5640 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5640 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:	313-799-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2014
Last Update Date	:	05/20/2021

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