Individual
RABIH MOUSSA BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301077565
MI
207RN0300X
Nephrology Physician
Primary
4301077565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024084
MIDWEST HEALTH PLAN
—
01
—
05959549
ECFMG
—
05
—
104955561
—
MI
01
—
1106358722
BLUE CROSS BLUE SHIELD
MI
01
—
110H229590
BLUE CROSS BLUE SHIELD
MI
01
—
146976
GREAT LAKES HEALTH PLAN
—
01
—
5315018532
CONTROLLED SUBSTANCE
MI
01
—
8041
TOTAL HEALTH CARE
—
Enumeration date
08/09/2005
Last updated
03/07/2023
Update your record
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