Individual
HAZAR H KHIDIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1545
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-4806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
272686
MA
207P00000X
Emergency Medicine Physician
Primary
4301517570
MI
207P00000X
Emergency Medicine Physician
69105
CT
207P00000X
Emergency Medicine Physician
A198019
CA
Other
Enumeration date
07/05/2017
Last updated
06/21/2026
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