Individual
EMAD NAKKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22039 JOHN R RD, HAZEL PARK, MI 48030-1712
(248) 336-3937
(248) 336-3938
Mailing address
22039 JOHN R RD, HAZEL PARK, MI 48030-1712
(248) 336-3937
(248) 336-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4301064463
MI
207W00000X
Ophthalmology Physician
Primary
4301064463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4333900
—
MI
Enumeration date
11/27/2005
Last updated
12/20/2016
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