Individual
HATHAM SHAWQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
1185 ACADEMY DR, ROCHESTER HILLS, MI 48307-4624
(586) 651-2776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300617
NY
207R00000X
Internal Medicine Physician
5101021043
MI
Other
Enumeration date
05/02/2014
Last updated
08/12/2019
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