Haidy Elazzamy

NPI 1942761622 · on the registry since 2019 · sole proprietor

Practice

Address: 22101 Moross Rd
Detroit, MI 48236
Phone: (313) 343-3864
Organisation at this address: Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 504

Registry record

Primary taxonomy: 207ZP0102X
207ZP0102X
Also registered as: 207ZC0500X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan