Provider Demographics
NPI:1982731337
Name:SAMEENA M. ZAHOOR MD PLLC
Entity type:Organization
Organization Name:SAMEENA M. ZAHOOR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMEENA
Authorized Official - Middle Name:MASOOD
Authorized Official - Last Name:ZAHOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-721-7055
Mailing Address - Street 1:1060 MILBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-5086
Mailing Address - Country:US
Mailing Address - Phone:734-397-0073
Mailing Address - Fax:734-398-5580
Practice Address - Street 1:1651 S VENOY RD
Practice Address - Street 2:SOUTH SUITE
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5514
Practice Address - Country:US
Practice Address - Phone:734-721-7055
Practice Address - Fax:734-721-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4630332Medicaid
MI0N98960001Medicare PIN
MI4630332Medicaid