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NPI Code Detail

MEDICARE: DR. ESSA HANNA HATTAR MD

MEDICARE: DR. ESSA HANNA HATTAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4351050811MI
2208D00000XGeneral Practice Physician4031512896MI
3207Q00000XFamily Medicine Physician4031512896MI

General Provider Information

NPI Number : 1003591926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESSA HANNA HATTAR MD
Provider Business Mailing Address
First Line : 50 N PERRY ST
Second Line :
City : PONTIAC
State : MI
Zip : 48342-2217
Country : US
Telephone Number : 248-338-5392
Fax Number :
Provider Business Practice Location Address
First Line : 50 N PERRY ST
Second Line :
City : PONTIAC
State : MI
Zip : 48342-2217
Country : US
Telephone Number : 248-338-5392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 12/11/2025

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