Individual
DR. MARIAM AHMAD HAZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201-2153
(313) 577-5030
(313) 745-4707
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087742
MI
207R00000X
Internal Medicine Physician
Primary
A111423
CA
208M00000X
Hospitalist Physician
4301087742
MI
Other
Enumeration date
03/30/2007
Last updated
03/07/2025
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