MEDICARE: YOUNES BAZZI

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	342000000X	Transportation Network Company	E70045	MI

General Provider Information

NPI Number	:	1508613183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUNES BAZZI

Provider Business Mailing Address
First Line	:	7801 MANOR ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1276
Country	:	US
Telephone Number	:	313-506-3046
Fax Number	:	313-429-9205

Provider Business Practice Location Address
First Line	:	7801 MANOR ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1276
Country	:	US
Telephone Number	:	313-506-3046
Fax Number	:	313-429-9205

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

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/02/2024

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Directions to “ YOUNES BAZZI ” Practice Location

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