Organization
BASMIT MEDICAL CENTER PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BNAN A RAZOKY M.D. (OWNER)
(586) 883-6787
Entity
Organization
Contact information
Practice address
34764 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5279
(586) 883-6787
(586) 883-6103
Mailing address
34764 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5279
(586) 883-6787
(586) 883-6103
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301082048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942317789
NPI
MI
Enumeration date
12/22/2011
Last updated
12/22/2011
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