Individual
DR. FASAHAT HUSAIN HAMZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43151 DALCOMA DR, SUITE 1, CLINTON TWP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Mailing address
43151 DALCOMA DR, SUITE 1, CLINTON TWP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
FH078231
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4685457
—
MI
05
—
4685466
—
MI
01
—
CB4874
RAILROAD MEDICARE
MI
Enumeration date
05/23/2006
Last updated
07/11/2024
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