Organization
HAMID SANJAGHSAZ DO,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID SANJAGHSAZ DO (PRESIDENT)
(313) 563-1001
Entity
Organization
Contact information
Practice address
24346 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2234
(313) 563-1001
(313) 563-1003
Mailing address
24346 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2234
(313) 563-1001
(313) 563-1003
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658212014
BCBS GRP PIN
MI
01
—
P00218327
RR GROUP PIN
MI
Enumeration date
08/05/2006
Last updated
08/22/2020
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