MOHAMAD HAISSAM GHAZZAOUI (NPI# 1972127843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972127843 |
| Entity Type | Individual |
| Full Name | MOHAMAD HAISSAM GHAZZAOUI |
| Practice Address |
14716 W Warren Ave Dearborn MI 48126-1347 |
| Practice Telephone | 3135821350 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 5303018068 | MI | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 9672 | NE | Student, Health Care |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 5351016280 | MI | Student, Health Care |
| Street Address |
14716 W WARREN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457383911 | Mohammed Muaz Obeid | Internal Medicine | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2006-07-07 |
| 1992270730 | Redwood Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2018-10-08 |
| 1467728253 | Fahimie Fay Merhi | Chiropractor | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2012-03-27 |
| 1548550643 | Mohammed M. Obeid, Do PC | Internal Medicine | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2011-04-11 |
| 1710201207 | Patient Home Visiting | General Practice | 14716 W Warren Ave, Suite 100, Dearborn, MI 48126-1347 | 2010-03-26 |
| 1194958884 | Dawn Home Health Care LLC | Home Health | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2009-08-27 |
| 1912120338 | Warrenfield Medical Center, P.C. | Family Medicine | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2007-04-11 |
| 1063512622 | A & S Pharmacy Inc. | Pharmacy | 14716 W Warren Ave, Dearborn, MI 48126-1347 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203523 | Marwa Ayyash | Student in an Organized Health Care Education/Training Program | 5853 Orchard Ave, Dearborn, MI 48126-2001 | 2020-04-03 |
| 1750622643 | Ghassan Tranesh | Student in an Organized Health Care Education/Training Program | 4253 Bingham St, Dearborn, MI 48126-3610 | 2013-03-03 |
| 1992981120 | Kristen Lynn Ayers | Student in an Organized Health Care Education/Training Program | 5580 Nottingham Ct, Apt 102, Dearborn, MI 48126 | 2008-01-17 |
| 1457495848 | Brenda Lee Pellicane | Student in an Organized Health Care Education/Training Program | 18100 Oakwood Blvd., Suite 300, Oakwood Department of Dermatology, Dearborn, MI 48124 | 2007-02-18 |
| 1073127999 | Taylor Nicole Johnson | Student in an Organized Health Care Education/Training Program | 19853 Outer Dr, Dearborn, MI 48124-2066 | 2020-09-08 |
| 1548895808 | Rashad Ghassan Madarani I | Student in an Organized Health Care Education/Training Program | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-03-06 |
| 1346802246 | Amanda Washnock | Student in an Organized Health Care Education/Training Program | 835 Mason St Ste B310, Dearborn, MI 48124-2231 | 2019-07-01 |
| 1164985792 | Kathryn Deeds | Student in an Organized Health Care Education/Training Program | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-04-10 |
| 1508329137 | Bora Mustafa Agabigum | Student in an Organized Health Care Education/Training Program | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-04-10 |
| 1508326448 | Derek Baker | Student in an Organized Health Care Education/Training Program | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-03-25 |
| 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.