Individual
DR. IRIANA S HAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301081111
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME109215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01005357
HEALTHPLUS OF MICHIGAN
—
05
—
1205849668
—
MI
01
—
144006
GREAT LAKES HEALTH PLAN
—
01
—
381870664
TAX ID
MI
01
—
700G360210
BCBSM GROUP PIN
—
01
—
IH081111
LICENSE NUMBER
MI
01
—
P00381891
RAILROAD MEDICARE
—
Enumeration date
08/15/2006
Last updated
07/15/2022
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