Provider Demographics
NPI:1194598664
Name:PHYSICIANS FOR SENIORS PLLC
Entity type:Organization
Organization Name:PHYSICIANS FOR SENIORS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:313-772-0805
Mailing Address - Street 1:26031 W WARREN ST STE B
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-4716
Mailing Address - Country:US
Mailing Address - Phone:313-563-0660
Mailing Address - Fax:313-563-0002
Practice Address - Street 1:26031 W WARREN ST STE B
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-4716
Practice Address - Country:US
Practice Address - Phone:313-563-0660
Practice Address - Fax:313-563-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty