Organization
EMAD NAKKASH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD NAKKASH M.D (PRESIDENT)
(248) 336-3937
Entity
Organization
Contact information
Practice address
22039 JOHN R RD, HAZEL PARK, MI 48030-1712
(248) 336-3937
(248) 336-3938
Mailing address
PO BOX 279, HAZEL PARK, MI 48030-0279
(248) 336-3937
(248) 336-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4301064463
MI
207W00000X
Ophthalmology Physician
Primary
4301064463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4333900
—
MI
Enumeration date
04/13/2007
Last updated
08/30/2011
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