# MAHA MEDIPLEX PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558017301
- **Authorized official:** DR. HUMAIRA RIZVI M.D. (PRESIDENT)
- **Authorized official phone:** (313) 903-0425

## Contact information

- **Practice address:** 22101 MOROSS, ST JOHNS HOSPITAL & MEDICAL CENTER, DETROIT, MI 48236
- **Practice address phone:** (313) 343-4000
- **Mailing address:** 2644 WOODWARD AVE, DETROIT, MI 48201-3029
- **Mailing address phone:** (313) 903-0425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022