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Contact Information

MOHAMAD BAZZI M D P C
42680 FORD RD.
CANTON, MI48187
 Phone: 734-844-5700
 Fax: 734-844-5703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MOHAMAD BAZZI M D P C · (Female)

NPI Number 1801989553
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 05/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301066396
  • MI Medicaid 4566509
  • MI Other 7175546 AETNA
  • MI Other 2408212402 BLUE CROSS BLUE SHIELD
  • MI Other 138185 CARE CHOICES
  • MI Other 16435 MCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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