Healthcare Provider Details

I. General information

NPI: 1821734260
Provider Name (Legal Business Name): HANIN HAMIE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5777 W MAPLE RD STE 200
WEST BLOOMFIELD MI
48322-2271
US

IV. Provider business mailing address

5777 W MAPLE RD STE 200
WEST BLOOMFIELD MI
48322-2271
US

V. Phone/Fax

Practice location:
  • Phone: 248-932-9223
  • Fax:
Mailing address:
  • Phone: 248-932-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101029569
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: