Basel Hamzeh, MD
Pediatrics in Detroit, MI. Individual provider (NPI-1).
NPI number1790779080
StatusActive
Last updated in NPPESFeb 10, 2011
Details
- NPI
- 1790779080
- Entity type
- Individual (NPI-1)
- Name
- Basel Hamzeh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2005
- Last updated
- Feb 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301062011 | MI | Yes |
Practice location
22201 Moross Rd270
Detroit, MI 48236-2169
Phone 313-343-3481 · Fax 313-343-7937
Mailing address
22201 Moross Rd270
Detroit, MI 48236-2169
Phone 313-343-3481 · Fax 313-343-7921
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