Individual provider · Type 1 NPI

Mazen Elatrache, MD

Gastroenterology Physician · Detroit, MI

NPI number 1104118397 Active

Practice location

2799 W Grand Blvd # K7
Detroit, MI 48202-2608

Fax (313) 916-9487

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Other practice locations

  • 19401 Hubbard Dr, Henry Ford Fairlane Medical Center, Dearborn, MI 48126 · (313) 982-9307

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X4301098217 (MI)
Gastroenterology Physician Primary 207RG0100X4301098217 (MI)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1104118397

Mazen Elatrache, MD's National Provider Identifier is 1104118397, issued on May 6, 2011. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Detroit, MI. The record was last updated on Sep 16, 2026.