DR. MARIAM AHMAD HAZEM M.D. NPI 1518087956

NPI Information

  • NPI: 1518087956
  • Provider Name: DR. MARIAM AHMAD HAZEM, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4201 SAINT ANTOINE ST STE 5C
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 577-5030

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NPI Details

DR. Mariam Ahmad Hazem, M.D. is an internal medicine in Detroit, MI with 20 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Mariam Ahmad Hazem, M.D. NPI is 1518087956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

4201 SAINT ANTOINE ST STE 5C
DETROIT, MI
ZIP 48201-153
Phone: (313) 577-5030
Fax: (313) 745-4707

The NPI 1518087956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 3/7/2025.

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
1207R00000XInternal Medicine4301087742MICHIGANNo
2208M00000XHospitalist4301087742MICHIGANNo
3207R00000XInternal MedicineA111423CALIFORNIAYes

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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