DR. BASSAM M MAAZ (NPI# 1851314314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851314314 |
| Entity Type | Individual |
| Full Name | DR. BASSAM M MAAZ |
| Credential | MD |
| Practice Address |
23522 Michigan Ave Ste 200 Dearborn MI 48124-1934 |
| Practice Telephone | 3137240584 |
| Practice Fax Number | 3137240593 |
| Mailing Telephone | 3137240584 |
| Mailing Fax Number | 3137240593 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301053885 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 1308248992 | 01 |
| MI | 1851314314 | 05 |
| Street Address |
23522 MICHIGAN AVE STE 200 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239070 | Michele G Weiss | Physical Therapist | 23522 Michigan Ave, Dearborn, MI 48124 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942633 | Infinity Psychiatry Services Pllc | Psychiatry & Neurology | 5250 Auto Club Dr Ste B, Dearborn, MI 48126-2619 | 2018-02-13 |
| 1831403401 | Mamdouh Abdulrazzak Md PC | Psychiatry & Neurology | 3200 Greenfield Rd, Suite 250, Dearborn, MI 48120-1802 | 2010-08-05 |
| 1437367497 | Youssef Ahmad Dakka | Psychiatry & Neurology | 10645 W Warren Ave Ste 300, Dearborn, MI 48126-8009 | 2007-05-21 |
| 1659305605 | Samir Sotouhi | Psychiatry & Neurology | 7145 Appoline St, Neurology, Headache & Pain Management, Dearborn, MI 48126-1991 | 2006-07-10 |
| 1518923325 | Andrew L Marcus | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2006-04-21 |
| 1538168612 | Robert Schwyn | Psychiatry & Neurology | 17000 Hubbard Dr, Suite 400, Dearborn, MI 48126-4258 | 2005-07-20 |
| 1437776689 | Neurospine Coverage Pllc | Psychiatry & Neurology | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2020-07-02 |
| 1104090083 | Andrew L. Marcus, M.d.,p.c. | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2008-04-22 |
| 1275740847 | Christina Desousa Rose | Psychiatry & Neurology | 5141 Oakman Blvd, Dearborn, MI 48126-3763 | 2007-05-16 |
| 1376661991 | Michigan Sleep Center Pllc | Psychiatry & Neurology | 4700 Greenfield Rd, Suite 203, Dearborn, MI 48126-4124 | 2007-03-26 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.