Provider Demographics
NPI:1922835982
Name:ALZIYADI, HOSSEAN
Entity type:Individual
Prefix:
First Name:HOSSEAN
Middle Name:
Last Name:ALZIYADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30305 TIMBERIDGE CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5456
Mailing Address - Country:US
Mailing Address - Phone:313-888-7434
Mailing Address - Fax:
Practice Address - Street 1:30305 TIMBERIDGE CIR APT 103
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5456
Practice Address - Country:US
Practice Address - Phone:313-888-7434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant