Individual
MUHAMMAD AZRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18100 OAKWOOD BOULEVARD, SUITE 205, DEARBORN, MI 48124
(313) 438-7880
(313) 438-7882
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301069915
MI
207RG0100X
Gastroenterology Physician
Primary
4301069915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F376980
BCBSM
MI
05
—
4234456
—
MI
Enumeration date
03/14/2006
Last updated
11/01/2022
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