Provider Demographics
NPI:1710183348
Name:REZA F. MAFEE M.D. P.C.
Entity type:Organization
Organization Name:REZA F. MAFEE M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-727-1765
Mailing Address - Street 1:33330 PALMER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5529
Mailing Address - Country:US
Mailing Address - Phone:734-727-1765
Mailing Address - Fax:734-727-1795
Practice Address - Street 1:33330 PALMER RD
Practice Address - Street 2:SUITE A
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5529
Practice Address - Country:US
Practice Address - Phone:734-727-1765
Practice Address - Fax:734-727-1795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty