Provider Demographics
NPI:1649242280
Name:ZAHOOR, SAMEENA MASOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMEENA
Middle Name:MASOOD
Last Name:ZAHOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:851 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2086
Mailing Address - Country:US
Mailing Address - Phone:734-453-5100
Mailing Address - Fax:734-453-3538
Practice Address - Street 1:851 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2086
Practice Address - Country:US
Practice Address - Phone:734-713-4000
Practice Address - Fax:734-713-4001
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070947207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0808227761OtherBCBS INDIVIDUAL
MI4630332Medicaid
MIH39235Medicare UPIN
MI0808227761OtherBCBS INDIVIDUAL