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NPI Code Detail

MEDICARE: DR. HADY H SROUR OD

MEDICARE:  DR. HADY H SROUR  OD
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
1152W00000XOptometrist4901005628MI

General Provider Information

NPI Number : 1871223644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HADY H SROUR OD
Provider Business Mailing Address
First Line : 41555 W 12 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48377-3103
Country : US
Telephone Number : 248-675-0800
Fax Number :
Provider Business Practice Location Address
First Line : 41555 W 12 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48377-3103
Country : US
Telephone Number : 248-675-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 09/10/2024

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Directions to “ DR. HADY H SROUR OD” Practice Location

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