Waqar Hafeez, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35566 Issued in OK

Practice address

6071 West Outer Drive
Detroit, MI 48235

Phone

(313) 966-3189

Fax

(313) 966-1738

NPI assigned

May 7, 2013

Reactivated

May 6, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1124463963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 SOUTHERN BLVD # 212773",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114337",
            "telephone_number": "718-971-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 WEST OUTER DRIVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-966-3189",
            "fax_number": "313-966-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "WAQAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "deactivation_date": "2014-03-27",
        "reactivation_date": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "35566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda I Hadous
• Munir Ali Hadwan, MSN,FNP-C
• Caroline Dorothea Haenicke
• Kausar Jahan Hafeez, MD
• Muhammad Saad Hafeez, MBBS
• Wasif Hafeez, MD
• Jill Hafelein, M.D.
• Reza Hafezi, D.C.
• Joman Haffar, MD
• Alexis Clare Haftka-George, M.D.

• Neurology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.