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

Individual provider Pediatric Critical Care Medicine Physician · NPI 1083866107

Mina Hafzalah, MD is a Pediatric Medicine in Detroit, Michigan. Qualified in 2000, 26 years ago. Practices with University Pediatricians, a 128-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
26
Licensed in
IL, MI
In the registry since
2008
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

3901 Beaubien St
Detroit, MI 48201-2119
Phone: (313) 745-5629
Fax: (313) 966-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 4301502539 (MI)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 036.117289 (IL)

Record details

NPI number1083866107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice University Pediatricians — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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