Healthcare Provider Details

I. General information

NPI: 1831987254
Provider Name (Legal Business Name): ALAA HAMKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21000 W 10 MILE RD
SOUTHFIELD MI
48075-1058
US

IV. Provider business mailing address

7442 PINEHURST ST
DEARBORN MI
48126-1514
US

V. Phone/Fax

Practice location:
  • Phone: 248-204-4000
  • Fax:
Mailing address:
  • Phone: 313-398-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: