# HATEM M ATAYA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528295375
- **Authorized official:** HATEM ATAYA MD (OWNER/PRESIDENT)
- **Authorized official phone:** (810) 667-3811

## Contact information

- **Practice address:** 971 BALDWIN RD, LAPEER, MI 48446-3007
- **Practice address phone:** (810) 667-3811
- **Practice address fax:** (810) 667-3842
- **Mailing address:** PO BOX 32693, DETROIT, MI 48232-0693
- **Mailing address phone:** (810) 667-3811
- **Mailing address fax:** (810) 667-3842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301079461 | MI | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 07/28/2009