Individual
DR. KALED BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DEPARTMENT OF INTERNAL MEDICINE, DETROIT, MI 48202-2608
(313) 916-1828
Mailing address
2799 W GRAND BLVD, DEPARTMENT OF INTERNAL MEDICINE, DETROIT, MI 48202-2608
(313) 916-1828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082214
MI
208M00000X
Hospitalist Physician
4301082214
MI
Other
Enumeration date
08/05/2006
Last updated
10/27/2023
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