Hafzalah, Mina
Hafzalah, Mina is an individual health care provider with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Hafzalah, Mina can be contacted via phone (313) 745-5629.Contact Information
Primary practice address
3901 Beaubien St
Detroit MI 48201-2119
Phone: (313) 745-5629
Fax: (313) 966-0105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 036.117289 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 4301502539 | Michigan |
Profile Details
NPI number | 1083866107 |
---|---|
LBN Legal business name | Hafzalah, Mina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2008 |
Last updated | Aug 14th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083866107 | NPPES |
Michigan | Other | 4301502539 | STATE LICENSE |
Michigan | Other | 7548 | STATE LICENSE |
Michigan | Other | 036.117289 | STATE LICENSE |
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