NPI | 1194364984 |
---|---|
Former Legal Business Name | HAZIMEH PRIMARY CARE PLLC |
Entity Type | Organization |
Authorized Contact | ALI HAZIMEH President / Owner 313-415-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2019-12-27 |
Last Update Date | 2022-07-15 |