Organization
MAHA MEDIPLEX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMAIRA RIZVI M.D. (PRESIDENT)
(313) 903-0425
Entity
Organization
Contact information
Practice address
22101 MOROSS, ST JOHNS HOSPITAL & MEDICAL CENTER, DETROIT, MI 48236
(313) 343-4000
Mailing address
2644 WOODWARD AVE, DETROIT, MI 48201-3029
(313) 903-0425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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