Organization
HALO ENDOCRINOLOGY
Active
Parent organization
HALO MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALO MEDICAL GROUP
Authorized official
HANADY BEYDOUN (OFFICE MANAGER)
(313) 993-7777
Entity
Organization
Contact information
Practice address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 993-7777
Mailing address
22720 MICHIGAN AVE STE 200, DEARBORN, MI 48124-2021
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14282742
CAQH
—
05
—
1548500333
—
MI
Enumeration date
02/27/2019
Last updated
02/27/2019
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