Provider Demographics
NPI:1154306710
Name:QAZI, PARVEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:PARVEEN
Middle Name:
Last Name:QAZI
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 1:32255 NORTHWESTERN HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-350-3190
Mailing Address - Fax:248-350-3245
Practice Address - Street 1:32255 NORTHWESTERN HWY STE 120
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-350-3190
Practice Address - Fax:248-350-3245
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301053329207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI06302991OtherBCBS INDIVIDUAL
MI110229060OtherRR MEDICARE
700F322420OtherBLUE SHIELD
MI1154306710Medicaid
MI06302991OtherBCBS INDIVIDUAL
MI110229060OtherRR MEDICARE