Healthcare Provider Details

I. General information

NPI: 1427161223
Provider Name (Legal Business Name): ALLERGY & ASTHMA CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 06/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1146 S LINDEN
FLINT MI
48532
US

IV. Provider business mailing address

1146 S LINDEN
FLINT MI
48532
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-1550
  • Fax: 810-733-1533
Mailing address:
  • Phone: 810-733-1550
  • Fax: 810-733-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. SHAWKY A HASSAN
Title or Position: PRESIDENT
Credential: MD PHD
Phone: 810-773-1550