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Az Medical Services Management LLC

NPI 1669788121ActiveOrganization· General Practice· Detroit, MI

General Practice in Detroit, Michigan, registered in NPPES in August 2010. The authorized official on file is Jerry Omar, Vice President.

Overview

NPI1669788121
StatusActive
Entity typeOrganization
NPI issuedAug 23, 2010
Last updated in NPPESAug 23, 2010

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Detroit

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