Individual
MOHAMAD HAZEM HATAHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7007 LIGHTHOUSE WAY, PERRYSBURG, OH 43551-7000
(419) 874-3246
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081495
MI
207RN0300X
Nephrology Physician
Primary
35088079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2701259
—
OH
01
—
P00409913
RR MEDICARE
OH
Enumeration date
07/19/2006
Last updated
05/09/2016
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