Provider Demographics
NPI:1063792182
Name:BAZZI, BATOUL KAYED (PHARM D)
Entity type:Individual
Prefix:DR
First Name:BATOUL
Middle Name:KAYED
Last Name:BAZZI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35401 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-6590
Mailing Address - Country:US
Mailing Address - Phone:313-820-6280
Mailing Address - Fax:
Practice Address - Street 1:35401 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-6590
Practice Address - Country:US
Practice Address - Phone:734-728-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist