Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301064109 | MI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301064109 | MI |
NPI | 1265470991 |
---|---|
Provider Name | Sonia Shawky Hassan |
First Address | Troy, MI 48083-1138 |
Second Address | Detroit, MI 48201-2018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/01/2016 |