Individual
MINA HAFZALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5629
(313) 966-0105
Mailing address
4201 ST. ANTOINE, UHC 5D - MAILBOX 226, DETROIT, MI 48201-2153
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
036.117289
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301502539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.117289
STATE LICENSE
IL
01
—
4301502539
STATE LICENSE
MI
01
—
7548
STATE LICENSE
SD
Enumeration date
10/21/2008
Last updated
08/14/2020
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