Organization
EPIC PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZLEOMAR MAHMOOD MD (PRESIDENT)
(734) 368-3159
Entity
Organization
Contact information
Practice address
5880 N CANTON CENTER RD STE 412, CANTON, MI 48187-2686
(734) 368-3159
(734) 667-3492
Mailing address
7286 BRENTWOOD CT, YPSILANTI, MI 48198-8701
(734) 368-3159
(734) 667-3492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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