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NPI Code Detail

MEDICARE: MR. RAOUF AZIZ MIKHAIL MD

MEDICARE: MR. RAOUF AZIZ MIKHAIL MD
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
1208600000XSurgery PhysicianRM039160MI
2174400000XSpecialistRM039160MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22512631OTHERMIBLUE CROSS BLUE SHIELD OF MICHIGAN
30202111OTHERHEALTH PLUS

General Provider Information

NPI Number : 1992785638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAOUF AZIZ MIKHAIL MD
Provider Business Mailing Address
First Line : G1075 N BALLENGER HWY
Second Line :
City : FLINT
State : MI
Zip : 48504-4431
Country : US
Telephone Number : 810-238-1118
Fax Number : 810-238-9849
Provider Business Practice Location Address
First Line : G1075 N BALLENGER HWY
Second Line :
City : FLINT
State : MI
Zip : 48504-4431
Country : US
Telephone Number : 810-238-1118
Fax Number : 810-238-9849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 12/12/2016

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