Individual
MUNNA AHMAD HAZIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD # 126, DEARBORN, MI 48124-4089
(313) 436-2582
Mailing address
5632 APPOLINE ST, DEARBORN, MI 48126-2316
(313) 614-1153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4351056756
MI
208D00000X
General Practice Physician
Primary
4351056756
MI
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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