Provider Demographics
NPI:1891311932
Name:ARZOO HASIJA, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:ARZOO HASIJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 BRIANS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2902
Mailing Address - Country:US
Mailing Address - Phone:716-906-1412
Mailing Address - Fax:
Practice Address - Street 1:1428 BRIANS WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2902
Practice Address - Country:US
Practice Address - Phone:716-906-1412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045856208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation