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Masa Al-Harastani, PA-C

Physician Assistant in Southfield, MI. Individual provider (NPI-1).

NPI number1376410019
StatusActive
Last updated in NPPESOct 20, 2025

Details

NPI
1376410019
Entity type
Individual (NPI-1)
Name
Masa Al-Harastani
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2025
Certification date
Oct 20, 2025
Last updated
Oct 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-3000

Mailing address

33333 W 12 Mile Rd
Farmington Hills, MI 48334-3312

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