Emad Nakkash
Optometrist Ophthalmologist
22039 John R Rd
Hazel Park
, Michigan 48030-1712
Emad Nakkash
Optometrist Ophthalmologist
22039 John R Rd
Hazel Park
, Michigan 48030-1712
(248) 336-3938
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About
Features
Specialties
- Optometrist
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Emad Nakkash
- 22039 John R Rd
- Hazel Park, MI
- Zip : 48030-1712
- Fax : (248) 336-3938
- Phone : (248) 336-3937
Second Address
- Emad Nakkash
- 22039 John R Rd
- Hazel Park, MI
- Zip : 48030-1712
- Fax : (248) 336-3938
- Phone : (248) 336-3937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4301064463 | MI |
| Y | 207W00000X | Ophthalmologist | 4301064463 | MI |
National Provider Identifier
| NPI | 1003899774 |
|---|---|
| Provider Name | Emad Nakkash |
| First Address | Hazel Park, MI 48030-1712 |
| Second Address | Hazel Park, MI 48030-1712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2005 |
| Last Update Date | 20/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4333900 | (05) | MI |
| H48636 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.