MOHAMAD HASSAN ABDUL AZIM (NPI# 1649761065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649761065 |
| Entity Type | Individual |
| Full Name | MOHAMAD HASSAN ABDUL AZIM |
| Practice Address |
2900 N Saginaw St Flint MI 48505-4452 |
| Mailing Address |
11 Franciscan Pl Pomona CA 91766-4867 |
| Practice Telephone | 9096361584 |
| Mailing Telephone | 9096361584 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2952000741 | MI | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2900 N SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745812 | Afroze Hai | Pediatrics | 2900 N Saginaw St, Flint, MI 48505-4452 | 2006-01-20 |
| 1407476542 | Raul Pariente | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2020-04-18 |
| 1871156646 | David Joseph Realy | Pharmacist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-04-17 |
| 1922566728 | Christopher Tanner | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-03-11 |
| 1396240875 | Peter Azer | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-03-27 |
| 1699203216 | Samer Alhouri | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2017-05-26 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1952783441 | Michelle Cardinal Ranke | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-22 |
| 1740661503 | Jenna Rennells | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-17 |
| 1477964930 | Hanna Tesfaye | Family Medicine | 2900 N Saginaw St, Flint, MI 48505-4452 | 2014-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1790264299 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504-7017 | 2018-08-07 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1962952770 | Deluxe Dental | Dentist | 3617 Corunna Rd, Flint, MI 48532-3830 | 2016-10-05 |
| 1376941773 | Deluxe Dental Associates Pllc | Dentist | 3760 S Dort Hwy, Flint, MI 48507 | 2014-12-17 |
| 1982978086 | Dr. Robert A. Davis | Dentist | 2710 W Court St Ste 6, Flint, MI 48503-3061 | 2012-03-07 |
| 1730407602 | Traci Jill Dantzler | Dentist | 4170 Lennon Rd Ste A, Flint, MI 48507-1083 | 2010-05-17 |
| 1053635458 | Mohanad Ballani | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2010-03-15 |
| 1457510513 | Yang Luen Shih | Dentist | 932 S Center Rd, Flint, MI 48503-4511 | 2008-06-04 |
| 1407021991 | Mildred Jean Tinker | Dentist | G-4256 S. Linden Rd., Flint, MI 48507-2908 | 2008-04-25 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.