# PROVIDERS TEK INC.

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

## Provider details

- **NPI number:** 1699283283
- **Authorized official:** MOUSSA BAZZI MD (OWNER)
- **Authorized official phone:** (313) 740-1111

## Contact information

- **Practice address:** 4700 GREENFIELD RD STE 2E, DEARBORN, MI 48126-4124
- **Practice address phone:** (734) 462-0340
- **Mailing address:** PO BOX 1997, DEARBORN, MI 48121-1997
- **Mailing address phone:** (313) 740-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301105966 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2018
- **Last updated:** 09/30/2026
