Organization
SAMINA ANSAR GHAZI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMINA ANSAR GHAZI M.D. (OWNER)
(248) 489-9070
Entity
Organization
Contact information
Practice address
33110 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3307
(248) 489-9070
(248) 489-9076
Mailing address
28907 E KING WILLIAM DR, FARMINGTON HILLS, MI 48331-2579
(248) 553-2886
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301060000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4495327-10
—
MI
Enumeration date
01/30/2007
Last updated
03/21/2011
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