Individual provider · Type 1 NPI

Moustafa S. Bazzi, MD

Sports Medicine (Family Medicine) Physician · Detroit, MI

NPI number 1265176747 Active

Practice location

3370 E Jefferson Ave
Detroit, MI 48207-4236

Fax (313) 656-1610

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 50 N Perry St, Pontiac, MI 48342-2217 · (248) 338-5392

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4301511136 (MI)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X4301511136 (MI)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1265176747

Moustafa S. Bazzi, MD's National Provider Identifier is 1265176747, issued on Apr 21, 2022. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Detroit, MI. The record was last updated on Jun 30, 2025.