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NPI Code Detail

MEDICARE: MADINAH HART

MEDICARE: MADINAH HART
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639032477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADINAH HART
Provider Business Mailing Address
First Line : 27217 COLLEEN CT
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8600 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-2142
Country : US
Telephone Number : 313-875-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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