Individual
HAITHAM MASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Mailing address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126-3574
(313) 945-9800
(313) 945-9184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
HM052487
MI
207Y00000X
Otolaryngology Physician
4301052487
MI
207YS0012X
Sleep Medicine (Otolaryngology) Physician
4301052487
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
4301052487
MI
207YX0602X
Otolaryngic Allergy Physician
4301052487
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4301052487
MI
208200000X
Plastic Surgery Physician
4301052487
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301052487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408205571
BCBS IND
MI
05
—
1629247481
—
MI
05
—
4867754
—
MI
01
—
700H228180
BLUE CROSS BLUE SHIELD MI
MI
01
—
P10167081
RAILROAD MEDICARE
MI
Enumeration date
02/26/2008
Last updated
07/17/2018
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