Individual
DR. TARIK HIKMAT HADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 E 12 MILE RD STE 308, WARREN, MI 48093-3491
(586) 574-5080
(868) 382-0425
Mailing address
11900 E 12 MILE RD STE 308, WARREN, MI 48093-3491
(586) 574-5080
(868) 382-0425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087600
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301087600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H208910
BLUE CROSS
MI
05
—
1144424623
—
MI
Enumeration date
06/11/2007
Last updated
06/27/2019
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