| James Bazzi Md Pc | |
|
3455 Livernois Rd Troy MI 48083-5063 | |
| (248) 619-2020 | |
| Not Available |
| Full Name | James Bazzi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3455 Livernois Rd, Troy, Michigan |
| Authorized Official Name and Position | James Bazzi (OWNER) |
| Authorized Official Contact | 3135632288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Bazzi Md Pc 8550 N Silvery Ln Ste 201 Dearborn Hts MI 48127-4510 Ph: (313) 563-2288 | James Bazzi Md Pc 3455 Livernois Rd Troy MI 48083-5063 Ph: (248) 619-2020 |
| NPI Number | 1891262341 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 6608110945 |
|---|---|
| Medicare Enrollment ID | O20181128000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891262341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James J Bazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700265014 PECOS PAC ID: 6002128394 Enrollment ID: I20180820002309 |
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