Individual
DR. HATEM SALEH ELHADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 673-0761
(419) 673-9366
Mailing address
1625 HOLMES RD, YPSILANTI, MI 48198-4155
(734) 864-4797
(734) 864-4755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-07-9655-E
OH
207R00000X
Internal Medicine Physician
Primary
35.079655
OH
207R00000X
Internal Medicine Physician
4301077509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669442695
—
MI
05
—
2262733
—
OH
01
—
5619197341C1V
BLUECROSS BLUESHIELD
OH
Enumeration date
01/24/2006
Last updated
10/26/2023
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