Active NPI
M Hazem Raslan MD PC
- Pulmonary Disease Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MR057633
- Legal business name
- M HAZEM RASLAN MD PC
- Practice address
- 6300 N Haggerty Rd
Suite 210
Canton, MI 48187-3568 - Phone
- (734) 641-3000
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamad Hazem Raslan, M.D
- Title
- Owner
- Phone
- (734) 641-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MR057633 | MI | Primary |
Addresses
Primary practice location
6300 N Haggerty Rd
Suite 210
Canton, MI 48187-3568
Mailing address
PO Box 253044
W. Bloomfield, MI 48325-3044
Phone (734) 641-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4579131 | Medicaid | MI | |
| DB4794 | Other | MI | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6300 N Haggerty Rd
Ste 210
Canton, MI 48187
Phone (734) 224-8240
19850 Middle Gibraltar Rd
Gibraltar, MI 48173
Phone (734) 346-0151
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Canton, MI
- NPI 1619938768
-
- Physician Assistant
- Ann Arbor, MI
- NPI 1801530910
-
- Family Nurse Practitioner
- Canton, MI
- NPI 1083099402
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1770198137
-
- Medical Physician Assistant
- Flat Rock, MI
- NPI 1881457216
-
- Critical Care Medicine (Internal Medicine) Physician
- Southfield, MI
- NPI 1407088123
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383609600000",
"number": "1306990676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 253044",
"city": "W. BLOOMFIELD",
"state": "MI",
"postal_code": "483253044",
"telephone_number": "734-641-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N HAGGERTY RD",
"address_2": "SUITE 210",
"city": "CANTON",
"state": "MI",
"postal_code": "481873568",
"telephone_number": "734-641-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M HAZEM RASLAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2013-11-05",
"status": "A",
"authorized_official_last_name": "RASLAN",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_middle_name": "HAZEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-641-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "MR057633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4579131",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DB4794",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.