Provider Demographics
NPI:1114157963
Name:AFZA, RUHY (MD)
Entity Type:Individual
Prefix:
First Name:RUHY
Middle Name:
Last Name:AFZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1472 NAPA
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-7700
Mailing Address - Country:US
Mailing Address - Phone:917-599-2849
Mailing Address - Fax:
Practice Address - Street 1:1472 NAPA
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-7700
Practice Address - Country:US
Practice Address - Phone:917-599-2849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301094893207R00000X, 207R00000X
NY277927-1208M00000X
MO2017034823208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist