Individual
HOMA HASNAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST, 7800 W OUTER DRIVE, DETROIT, MI 48235
(313) 653-2300
(313) 653-2500
Mailing address
HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST, 7800 W OUTER DRIVE, DETROIT, MI 48235
(313) 653-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070129
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301070129
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
494477310
—
MI
01
—
HH070129
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
03/31/2006
Last updated
05/06/2019
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