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NPI Code Detail

MEDICARE: DR. MOHAMMAD MAHMOUD HASAN ALHYARI M.D

MEDICARE: DR. MOHAMMAD MAHMOUD HASAN ALHYARI 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
1207RX0202XMedical Oncology Physician4301503037MI
2207RH0000XHematology (Internal Medicine) Physician4301503037MI
3207R00000XInternal Medicine Physician4301096086MI

General Provider Information

NPI Number : 1346554912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD MAHMOUD HASAN ALHYARI M.D
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE # MC845
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 MICHIGAN ST NE STE 2200
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2562
Country : US
Telephone Number : 616-486-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 03/12/2026

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