# FAIZA MASOUD MD PC

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

## Provider details

- **NPI number:** 1790256980
- **Authorized official:** FAIZA MASOUD MD (OWNER/PRESIDENT)
- **Authorized official phone:** (248) 739-0283

## Contact information

- **Practice address:** 33330 PALMER RD, WESTLAND, MI 48186-5529
- **Practice address phone:** (248) 739-0283
- **Practice address fax:** (734) 729-9435
- **Mailing address:** 26541 ANCHORAGE CT, NOVI, MI 48374-2125
- **Mailing address phone:** (248) 739-0283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018