Individual
DR. TAREK SHAWKY HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 W 13 MILE RD, LL-20, ROYAL OAK, MI 48073-6710
(248) 288-2280
(248) 288-5644
Mailing address
39650 ORCHARD HILL PL, 200, NOVI, MI 48375-5391
(248) 319-0161
(248) 319-0170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301052641
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301052641
MI
Other
Enumeration date
06/21/2006
Last updated
01/26/2022
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