| 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 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2022-07-15 |