Basic Information
Provider Information
NPI: 1497069801
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QAZI
FirstName: SABRINA
MiddleName: MASOODA
NamePrefix: DR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32255 NORTHWESTERN HWY
Address2: SUIT 120
City: FARMINGTON HILLS
State: MI
PostalCode: 483341566
CountryCode: US
TelephoneNumber: 2483503190
FaxNumber: 2483503245
Practice Location
Address1: 32255 NORTHWESTERN HWY
Address2: SUIT 120
City: FARMINGTON HILLS
State: MI
PostalCode: 483341566
CountryCode: US
TelephoneNumber: 2483503190
FaxNumber: 2483503245
Other Information
ProviderEnumerationDate: 07/28/2010
LastUpdateDate: 06/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X5101018975MIY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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