| Wasim A Qazi Md Pc | |
|
6001 W Outer Dr Suite 420 Detroit MI 48235-2614 | |
| (313) 341-2545 | |
| (313) 341-2554 |
| Full Name | Wasim A Qazi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6001 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Wasim Qazi (PRESIDENT / OWNER) |
| Authorized Official Contact | 3133412545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasim A Qazi Md Pc 6001 W Outer Dr Suite 420 Detroit MI 48235-2614 Ph: (313) 341-2545 | Wasim A Qazi Md Pc 6001 W Outer Dr Suite 420 Detroit MI 48235-2614 Ph: (313) 341-2545 |
| NPI Number | 1376642744 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 2466411897 |
|---|---|
| Medicare Enrollment ID | O20041011000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376642744 | NPI | - | NPPES |
| 104252490 | Medicaid | MI | |
| 0826370 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wasim A Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558460998 PECOS PAC ID: 8325008741 Enrollment ID: I20041012000112 |
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