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NPI Code Detail

MEDICARE: ROBERT HADI DEEB M.D.

MEDICARE: ROBERT HADI DEEB M.D.
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
1207Y00000XOtolaryngology Physician4301089876MI

General Provider Information

NPI Number : 1114123445
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT HADI DEEB M.D.
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 313-874-4806
Fax Number :
Provider Business Practice Location Address
First Line : 6777 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3013
Country : US
Telephone Number : 313-916-3272
Fax Number : 800-653-6568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2007
Last Update Date : 04/13/2026

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