MEDICARE: DR. MOHAMED HANAFI ABUHARAZ 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	207R00000X	Internal Medicine Physician	4301064228	MI

General Provider Information

NPI Number	:	1427005123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED HANAFI ABUHARAZ M.D.

Provider Business Mailing Address
First Line	:	4818 W PROFESSIONAL DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2844
Country	:	US
Telephone Number	:	989-686-8100
Fax Number	:	989-686-8109

Provider Business Practice Location Address
First Line	:	4818 W PROFESSIONAL DR
Second Line	:	SUITE 108
City	:	BAY CITY
State	:	MI
Zip	:	48706-2844
Country	:	US
Telephone Number	:	989-686-8100
Fax Number	:	989-686-8109

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

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	09/22/2010

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