| Dr Fasahat Husain Hamzavi, MD | |
|
43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 | |
| (586) 286-8720 | |
| (586) 286-8723 |
| Full Name | Dr Fasahat Husain Hamzavi |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 25 Years |
| Location | 43151 Dalcoma Dr, Clinton Twp, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295780989 | NPI | - | NPPES |
| CB4874 | Other | MI | RAILROAD MEDICARE |
| 4685466 | Medicaid | MI | |
| 4685457 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | FH078231 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| S L Husain Hamzavi Md Pc | 7012976590 | 11 |
| Entity Name | University Pediatricians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
| Entity Name | S L Husain Hamzavi Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407943962 PECOS PAC ID: 7012976590 Enrollment ID: O20041008001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fasahat Husain Hamzavi, MD 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 Ph: (586) 286-8720 | Dr Fasahat Husain Hamzavi, MD 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 Ph: (586) 286-8720 |
Dr. John Joe Pomann Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16510 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-7200 | |
Meredith Lindsay Price, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43151 Dalcoma Dr, Clinton Twp, MI 48038 Phone: 586-286-8720 |