Mazhari, Assadollah A

Mazhari, Assadollah A is an individual health care provider with primary practice located at 43650 Garfield Rd , Clinton Township MI 48038-1120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Mazhari, Assadollah A can be contacted via phone (877) 486-7978.

Contact Information

Primary practice address
43650 Garfield Rd Clinton Township MI 48038-1120
Phone: (877) 486-7978
Fax: (313) 745-2777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301052399 Michigan
Other Service Providers / Specialist 174400000X 4301052399 Michigan

Profile Details

NPI number 1982681409
LBN Legal business name Mazhari, Assadollah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Oct 27th, 2016 - about 9 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 1982681409 NPPES
Michigan MEDICAID 1891095

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