| Kareem H Bazzi Md Pllc | |
|
17751 E Warren Ave Detroit MI 48224-1329 | |
| (313) 885-6833 | |
| (737) 207-9070 |
| Full Name | Kareem H Bazzi Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17751 E Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Samantha Middleton (CREDENTIALING) |
| Authorized Official Contact | 9893218918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kareem H Bazzi Md Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: () - | Kareem H Bazzi Md Pllc 17751 E Warren Ave Detroit MI 48224-1329 Ph: (313) 885-6833 |
| NPI Number | 1861171407 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0042665366 |
|---|---|
| Medicare Enrollment ID | O20231006000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861171407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kareem Bazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639466436 PECOS PAC ID: 3274759428 Enrollment ID: I20140723002031 |
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