Individual
ELIAS HAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE STE 307, JACKSON, MI 49201-1850
(517) 205-1594
(641) 226-5024
Mailing address
1100 E MICHIGAN AVE STE 307, JACKSON, MI 49201-1850
(517) 205-1594
(517) 205-1540
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
35243
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418582
—
IA
05
—
1418582
—
IA
01
—
35243
MEDICAL LICENSE
IA
01
—
P00121777
RR MEDICARE CV
IA
01
—
P00161383
RR MEDICARE ONC
IA
Enumeration date
09/26/2005
Last updated
02/26/2021
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