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Individual

KAAZIM MUKHTAAR HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
36750 26 MILE RD, CHESTERFIELD, MI 48047-2920
(586) 879-2000
Mailing address
36750 26 MILE RD, CHESTERFIELD, MI 48047-2920
(586) 879-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01090719A
IN
207P00000X
Emergency Medicine Physician
Primary
036165270
IL
207P00000X
Emergency Medicine Physician
4301509205
MI
207P00000X
Emergency Medicine Physician
83228-20
WI
207P00000X
Emergency Medicine Physician
D0100841
MD
207P00000X
Emergency Medicine Physician
ME164029
FL

Other

Enumeration date
04/16/2020
Last updated
09/20/2024
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