Mazen Harake, MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301086566 Issued in MI

Legal business name

MAZEN HARAKE, MD PC

Practice address

201 W Big Beaver Rd
Suite 1130
Troy, MI 48084-4152

Phone

(248) 524-0620

Fax

(248) 524-0934

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mazen Samir Harake, MDNPI 1699986760

Title

President

Phone

(773) 230-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen Samir Harake, M.D.

  • Plastic Surgery Physician
  • Troy, MI
  • NPI 1699986760
  Authorized official Same address or phone

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1447608104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BIG BEAVER RD",
            "address_2": "SUITE 1130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844152",
            "telephone_number": "248-524-0620",
            "fax_number": "248-524-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BIG BEAVER RD",
            "address_2": "SUITE 1130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844152",
            "telephone_number": "248-524-0620",
            "fax_number": "248-524-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN HARAKE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "HARAKE",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-230-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301086566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy May
• Kari Mayer, COTA
• Giulia Mayerhoff, NP
• Ross Mayerhoff, MD
• Hannah Maze, OTR/L
• Diana S Mazer-Saleh, OTRL
• Danish Mazhar, MD
• Sana Alia Mazhar, CMT
• Susan Maria Mazur, DDS
• Carol Mazurek, PT

• Plastic Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.