Active NPI
Ribhi Hazin MD PC
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301097437
- Legal business name
- RIBHI HAZIN MD PC
- Practice address
- 4777 E Outer Dr Ste 1147
Detroit, MI 48234-3241 - Phone
- (734) 699-2900
- Fax
- (313) 731-0213
- NPI assigned
- Aug 14, 2015
- Last updated
- Nov 14, 2019
- 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
- Ribhi Hazin, MD
- Title
- Owner Provider
- Phone
- (734) 699-2900
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301097437 | MI | Primary |
Addresses
Primary practice location
4777 E Outer Dr Ste 1147
Detroit, MI 48234-3241
Mailing address
PO Box 393
Dearborn Heights, MI 48127-0393
Phone (734) 699-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457727307 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4777 E Outer Dr
Ste 1147
Detroit, MI 48234
Phone (313) 826-6100
9500 Grand River Ave
Detroit, MI 48204
Phone (313) 491-7920
3611 Carpenter St
Hamtramck, MI 48212
Phone (313) 733-8286
1620 Ford Ave
Wyandotte, MI 48192
Phone (734) 699-2900
Practitioners & affiliated clinicians
Practitioners 18
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.
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- Internal Medicine Physician
- Detroit, MI
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-
- Acute Care Nurse Practitioner
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- NPI 1912282096
-
- Adult Health Nurse Practitioner
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- NPI 1326471764
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1497088876
-
- Physician Assistant
- Detroit, MI
- NPI 1922690304
-
- Family Nurse Practitioner
- Detroit, MI
- NPI 1720596307
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1225215569
-
- Acute Care Nurse Practitioner
- West Bloomfield, MI
- NPI 1184256380
-
- Nurse Practitioner
- Houston, TX
- NPI 1629615109
-
- Physician Assistant
- Detroit, MI
- NPI 1902516040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1457727307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481270393",
"telephone_number": "734-699-2900",
"fax_number": "313-731-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E OUTER DR STE 1147",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343241",
"telephone_number": "734-699-2900",
"fax_number": "313-731-0213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIBHI HAZIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-14",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "HAZIN",
"authorized_official_first_name": "RIBHI",
"authorized_official_title_or_position": "OWNER PROVIDER",
"authorized_official_telephone_number": "734-699-2900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301097437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457727307",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.