Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301064119 | MI |
NPI | 1013984269 |
---|---|
Provider Name | Hameem Changezi |
First Address | Flint, MI 48532-3422 |
Second Address | Flint, MI 48532-3422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 23/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013984269 | (05) | MI |
1042238 | HEALTH PLUS (01) | MI |
H37682 | (02) | MI |