Healthcare Provider Details

I. General information

NPI: 1205745544
Provider Name (Legal Business Name): DR. MANAR MAAN HANNAKACHL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3973 CORKWOOD DR
STERLING HEIGHTS MI
48314-4410
US

IV. Provider business mailing address

3973 CORKWOOD DR
STERLING HEIGHTS MI
48314-4410
US

V. Phone/Fax

Practice location:
  • Phone: 248-835-2880
  • Fax:
Mailing address:
  • Phone: 248-835-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419294
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: