Mina Hafzalah
M.D. | Pediatric Critical Care Medicine | Female
Mina Hafzalah, M.D. is a Detroit, Michigan based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Mina Hafzalah is
3901 Beaubien St, Detroit, Michigan - 48201-2119. She can be contacted on phone at
313-745-5629 and fax number 313-966-0105.
Mina Hafzalah is a sole proprietor of her business.
NPI number (Unique professional ID) for Mina Hafzalah is
1083866107 which was assigned by NPPES on 21 Oct, 2008 and it was last updated on 14 Aug, 2020.
Mina Hafzalah license number is
4301502539 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Michigan.
Mina Hafzalah is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Mina Hafzalah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Mina Hafzalah |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mina Hafzalah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3901 Beaubien St
Detroit, MI, 48201-2119
United States |
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| Phone Number : | 313-745-5629 |
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| Fax Number : | 313-966-0105 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083866107 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Oct, 2008 |
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| Last Updated On : | 14 Aug, 2020 |
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Medicare Participation:
Mina Hafzalah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3971815192 |
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| Medicare Enrollment ID : | I20200826002616 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2000 |
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| Accepts Medicare? | Yes. Mina Hafzalah accepts medicare insurance. |
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Group Practice Association:
Mina Hafzalah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mina Hafzalah is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Pediatricians | 9638070568 | 85 | 3901 Beaubien St
Detroit, MI - 482012119
Ph: 3137455870 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mina Hafzalah are as mentioned. Primary taxonomy code for Mina Hafzalah, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 036.117289 | IL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 4301502539 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Mina Hafzalah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 7548 | Other | SD | STATE LICENSE |
| 036.117289 | Other | IL | STATE LICENSE |
| 4301502539 | Other | MI | STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4201 St. Antoine, Uhc 5d - Mailbox 226
Detroit, MI, 48201-2153
United States |
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| Phone Number : | 313-966-5051 |
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| Fax Number : | 313-966-0665 |
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Business Location:
Patients can refer following map for directions to
Mina Hafzalah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.