Blake Bazzi
Blake Bazzi is a Physician Assistant in Oak Park, Michigan. Graduated from Wayne State University School of Medicine in 2023, 3 years ago. Practices with Southfield City Urgent Care PC, a 21-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 3
- Trained at
- Wayne State University School of Medicine
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
24661 Coolidge HwyOak Park, MI 48237-1449
Phone: (248) 398-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601011771 (MI) |
|---|
Record details
| NPI number | 1770276719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 26, 2023 |
| Last updated in NPPES | June 27, 2024 |
| Certification date | June 27, 2024 |
| Mailing address | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2023 (3 years in practice) |
| Group practice | Southfield City Urgent Care Pc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Oak Park
-
Gayatri R. Amin, PA-C
8750 W 9 Mile Rd, Oak Park, MI 48237-2322 · (248) 590-8000
-
Mary Therese Aubrey, PA-C
25900 Greenfield Rd Ste 600, Oak Park, MI 48237-1267 · (248) 967-8751
-
Peter Matty
24661 Coolidge Hwy, Oak Park, MI 48237-1449 · (248) 206-3497
-
Udoka K Ndukwe, PA-C
24601 Coolidge Hwy, Oak Park, MI 48237-1449 · (248) 546-9100
-
Jihan Sayed, PHYSICIAN, ASSISTANT
24661 Coolidge Hwy, Oak Park, MI 48237-1449 · (248) 398-4000