IndividualActive
Fasahat Hamzavi, MD
NPI 1295780989 · MOHS-Micrographic Surgery Physician · Clinton Twp, MI
Provider details
- NPI number
- 1295780989
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- FH078231 (MI)
Practice location
43151 Dalcoma Dr
Suite 1
Clinton Twp, MI 48038-6306
Phone: (586) 286-8720
Fax: (586) 286-8723
Mailing address
43151 Dalcoma Dr
Clinton Twp, MI 48038-6306
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.