Healthcare Provider Details

I. General information

NPI: 1144305533
Provider Name (Legal Business Name): MCFORD PEDIATRICS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22350 FORD RD
DEARBORN HEIGHTS MI
48127-2421
US

IV. Provider business mailing address

22350 FORD RD
DEARBORN HEIGHTS MI
48127-2421
US

V. Phone/Fax

Practice location:
  • Phone: 313-278-2788
  • Fax: 313-278-8215
Mailing address:
  • Phone: 313-278-2788
  • Fax: 313-278-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NASEEB B HAMAMEH
Title or Position: OWNER
Credential: M.D.
Phone: 313-278-2788