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NPI Code Detail

MEDICARE: DR. HATEM SALEH ELHADY M.D.

MEDICARE: DR. HATEM SALEH ELHADY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35-07-9655-EOH
2207R00000XInternal Medicine Physician4301077509MI
3207R00000XInternal Medicine Physician35.079655OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25619197341C1VOTHEROHBLUECROSS BLUESHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669442695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HATEM SALEH ELHADY M.D.
Provider Business Mailing Address
First Line : 1625 HOLMES RD
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-4155
Country : US
Telephone Number : 734-864-4797
Fax Number : 734-864-4755
Provider Business Practice Location Address
First Line : 921 E FRANKLIN ST
Second Line :
City : KENTON
State : OH
Zip : 43326-2020
Country : US
Telephone Number : 419-673-0761
Fax Number : 419-673-9366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 10/26/2023

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