Individual
DR. ILTEFAT H HAMZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 N LILLEY RD, CANTON, MI 48187-3907
(734) 495-1506
(734) 495-1780
Mailing address
43151 DALCOMA DR, SUITE 6, CLINTON TWP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
IH067985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4366016
—
MI
05
—
4366320
—
MI
01
—
CB4874
RAILROAD MEDICARE
MI
Enumeration date
05/05/2006
Last updated
12/09/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us