Individual
HEBATALLA OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201-2153
(313) 577-4342
Mailing address
4201 ST ANTOIN ST, SUITE 5C, DETROIT, MI 48201
(313) 577-4342
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.163933
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
05/25/2023
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