Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mazen Elatrache, MD

Individual provider Internal Medicine Physician · NPI 1104118397

Dr. Mazen Elatrache, MD is a Gastroenterology in Dearborn, Michigan. Qualified in 2009, 17 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19401 Hubbard Dr Henry Ford Fairlane Medical Ctr
Dearborn, MI 48126
Phone: (313) 982-9307
Fax: (313) 982-8320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (800) 653-6568

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301098217 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301098217 (MI)

Record details

NPI number1104118397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2011
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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