Individual
HAIDY ELAZZAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3864
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3864
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301508375
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301508375
MI
Other
Enumeration date
03/26/2019
Last updated
06/06/2024
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