Individual provider · Type 1 NPI

Masa Al-Harastani, PA-C

Physician Assistant · Southfield, MI

NPI number 1376410019 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

33333 W 12 Mile Rd
Farmington Hills, MI 48334-3312

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376410019

Masa Al-Harastani, PA-C's National Provider Identifier is 1376410019, issued on Oct 18, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Oct 20, 2025.