Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 4301069693 | MI |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 4301069693 | MI |
NPI | 1487634044 |
---|---|
Provider Name | Hassan W. Nemeh |
First Address | Detroit, MI 48202 |
Second Address | Detroit, MI 48202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G39056 | (02) | |
HN069693 | CHAMPUS-CHAMPUS (01) | |
HN069693 | COMMERCIAL-COMMERCIAL NUMBER (01) |