Provider Demographics
NPI:1649095175
Name:METRO HEALTH MEDICINE PLLC
Entity type:Organization
Organization Name:METRO HEALTH MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAEED
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-663-6502
Mailing Address - Street 1:13479 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1064
Mailing Address - Country:US
Mailing Address - Phone:313-663-6502
Mailing Address - Fax:
Practice Address - Street 1:13479 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1064
Practice Address - Country:US
Practice Address - Phone:313-663-6502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty