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NPI Code Detail

MEDICARE: NH PLLC

MEDICARE: NH PLLC
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 Physician

General Provider Information

NPI Number : 1083338727
Entity Type Code : Organization
Provider Name (Legal Business Name) : NH PLLC
Provider Business Mailing Address
First Line : 26346 GIBRALTAR RD
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1522
Country : US
Telephone Number : 717-557-4181
Fax Number : 734-795-6312
Provider Business Practice Location Address
First Line : 26346 GIBRALTAR RD
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1522
Country : US
Telephone Number : 717-557-4181
Fax Number : 734-795-6312
Authorized Official
Title or Position : OWNER
Name : ASHRAF HAMZA
Credential : MD
Telephone Number : 717-557-4181
Provider Enumeration Date : 09/27/2022
Last Update Date : 09/27/2022

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