Moustafa S Bazzi, MD Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Detroit, MI

NPI

1265176747

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

4301511136 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2022-04-21

Last updated

2025-06-30