Raslan, Mohamad Hazem

Raslan, Mohamad Hazem is an sole proprietor health care provider with primary practice located at 6300 N Haggerty Rd Ste 210 , Canton MI 48187-4472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Raslan, Mohamad Hazem can be contacted via phone (734) 641-3000.

Contact Information

Primary practice address
6300 N Haggerty Rd Ste 210 Canton MI 48187-4472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MR057633 Michigan

Profile Details

NPI number 1619938768
LBN Legal business name Raslan, Mohamad Hazem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Feb 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619938768 NPPES
Michigan Other 200449690 TAX ID
Michigan MEDICAID 4579131 TAX ID

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