MEDICARE: ZEINA HASSAN HACHEM

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1942003637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEINA HASSAN HACHEM

Provider Business Mailing Address
First Line	:	21000 W 10 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-1051
Country	:	US
Telephone Number	:	313-377-2120
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 LAPHAM ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3471
Country	:	US
Telephone Number	:	313-377-2120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	03/12/2026

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Directions to “ ZEINA HASSAN HACHEM ” Practice Location

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