Samina Ansar Ghazi MD PC
Clinic/Center in Farmington Hills, MI. Organization (NPI-2).
NPI number1144366758
StatusActive
Last updated in NPPESMar 21, 2011
Details
- NPI
- 1144366758
- Entity type
- Organization (NPI-2)
- Legal business name
- Samina Ansar Ghazi MD PC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Mar 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 4301060000 | MI | Yes |
Practice location
33110 W 12 Mile RdFarmington Hills, MI 48334-3307
Phone 248-489-9070 · Fax 248-489-9076
Mailing address
28907 E King William DrFarmington Hills, MI 48331-2579
Phone 248-553-2886
Authorized official
Samina Ansar Ghazi
Owner
2484899070
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