Organization
MDSLIVENOW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN BAZZI DO (MANAGER)
(313) 231-4716
Entity
Organization
Contact information
Practice address
4100 WOODWARD AVE, DETROIT, MI 48201-2173
(313) 974-6533
Mailing address
6473 CHASE RD, DEARBORN, MI 48126-2138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
03/29/2022
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