Provider Demographics
NPI:1447910906
Name:RELIANT PHYSICIAN SERVICES PC
Entity type:Organization
Organization Name:RELIANT PHYSICIAN SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FAUZIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-368-3159
Mailing Address - Street 1:7286 BRENTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-8701
Mailing Address - Country:US
Mailing Address - Phone:734-368-3159
Mailing Address - Fax:734-667-3492
Practice Address - Street 1:5880 N CANTON CENTER RD STE 412
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2686
Practice Address - Country:US
Practice Address - Phone:734-368-3159
Practice Address - Fax:734-667-3492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-26
Last Update Date:2021-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty