Provider Demographics
NPI:1184684680
Name:QAZI, MAJID JAHANGIR (D O)
Entity Type:Individual
Prefix:DR
First Name:MAJID
Middle Name:JAHANGIR
Last Name:QAZI
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28080 GRAND RIVER AVE
Mailing Address - Street 2:SUITE 300 W
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5966
Mailing Address - Country:US
Mailing Address - Phone:248-615-7300
Mailing Address - Fax:248-615-7333
Practice Address - Street 1:28080 GRAND RIVER AVE
Practice Address - Street 2:SUITE 300W
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5966
Practice Address - Country:US
Practice Address - Phone:248-615-7300
Practice Address - Fax:248-615-7333
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014641207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4857810-10Medicaid
MI4857810-10Medicaid