Healthcare Provider Details

I. General information

NPI: 1578098026
Provider Name (Legal Business Name): HASHEM H ZOKARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29877 TELEGRAPH RD STE 304
SOUTHFIELD MI
48034-7660
US

IV. Provider business mailing address

29877 TELEGRAPH RD STE 304
SOUTHFIELD MI
48034-7660
US

V. Phone/Fax

Practice location:
  • Phone: 248-955-1700
  • Fax: 248-955-5653
Mailing address:
  • Phone: 248-955-1700
  • Fax: 248-955-5653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4351036615
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301506287
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: