Healthcare Provider Details

I. General information

NPI: 1811194830
Provider Name (Legal Business Name): HANADY ADEL DAAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36123 SCHOOLCRAFT RD
LIVONIA MI
48150-1216
US

IV. Provider business mailing address

36123 SCHOOLCRAFT RD
LIVONIA MI
48150-1216
US

V. Phone/Fax

Practice location:
  • Phone: 734-464-0887
  • Fax: 734-402-0254
Mailing address:
  • Phone: 734-464-0887
  • Fax: 734-402-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAH4337526095
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number4301088353
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: