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Individual

NASEEB BISHARA HAMAMEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22350 FORD RD, DEARBORN HEIGHTS, MI 48127-2421
(313) 278-2788
(313) 278-8215
Mailing address
22350 FORD RD, DEARBORN HEIGHTS, MI 48127-2421
(313) 278-2788
(313) 278-8215

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
37199
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0820651
BCBS OF MI.
MI
05
4210051
MI
Enumeration date
06/17/2006
Last updated
07/08/2007
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