Organization
SHAWQI E HALABU M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWQI E HALABU M.D. (PRESIDENT)
(248) 615-2020
Entity
Organization
Contact information
Practice address
23133 ORCHARD LAKE RD STE 204, FARMINGTON, MI 48336-3279
(248) 615-2020
(248) 615-4055
Mailing address
23133 ORCHARD LAKE RD STE 204, FARMINGTON, MI 48336-3279
(248) 615-2020
(248) 615-4055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SHO42299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F39026
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
60F390260
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
03/26/2010
Last updated
11/14/2019
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