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

Haidy Elazzamy

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1942761622

Haidy Elazzamy is a Pathology in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Pathology Specialists of Southeast Michigan PC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301508375 (MI)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 4301508375 (MI)

Record details

NPI number1942761622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2019
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pathology Specialists Of Southeast Michigan Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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