NPI 1194659730

Mostafa Ghulam Hazrat

Practitioner Podiatric Assistant Grand Blanc, MI

Practice location

Address: 1 Genesys Pkwy, Grand Blanc, MI 48439-8065
Phone: (810) 606-5987
Mailing address: 1275 Heatherwood Dr APT 7450-3b, Grand Blanc, MI 48439-9293

Registered specialties

Podiatric Assistant Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 211D00000X Licence 5951001611 (MI)

Other Assistant, Podiatric providers in Michigan →

Registry record

NPI: 1194659730
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2026
Record last updated: 10 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.