SAMINA ANSAR GHAZI MD PC NPI 1144366758

NPI Information

  • NPI: 1144366758
  • Provider Name: SAMINA ANSAR GHAZI MD PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D1008952
  • Address: 33110 W 12 MILE RD
    FARMINGTON HILLS, MI
    ZIP 48334
  • Phone: (248) 489-9070

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NPI Details

SAMINA ANSAR GHAZI MD PC is a clinic center in Farmington Hills, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SAMINA ANSAR GHAZI MD PC NPI is 1144366758. The provider is registered as an organization entity type.

The provider's business location address is:

33110 W 12 MILE RD
FARMINGTON HILLS, MI
ZIP 48334-307
Phone: (248) 489-9070
Fax: (248) 489-9076

The provider's authorized official is Samina Ansar Ghazi .
The authorized official title is Owner and has the following contact phone number (248) 489-9070.

The CLIA number assigned to this NPI record is 23D1008952 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4301060000MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14495327-10MEDICAIDMICHIGAN
2H61651MEDICARE UPINMICHIGAN
3ON64120MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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