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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

NPI Number 1801989553
LBN Legal business name MOHAMAD BAZZI M D P C
Authorized official MOHAMAD BAZZI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 05/03/2010 - About 16 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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