Elatrache, Mazen

Elatrache, Mazen is an individual health care provider with primary practice located at 19401 Hubbard Dr Henry Ford Fairlane Medical Center, Dearborn MI 48126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Elatrache, Mazen can be contacted via phone (313) 982-9307.

Contact Information

Primary practice address
19401 Hubbard Dr Henry Ford Fairlane Medical Center Dearborn MI 48126
Phone: (313) 982-9307
Fax: (313) 982-8320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301098217 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301098217 Michigan

Profile Details

NPI number 1104118397
LBN Legal business name Elatrache, Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2011
Last updated Feb 9th, 2023 - 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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