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NPI Code Detail

MEDICARE: MRS. HANA ALQADHI

MEDICARE: MRS. HANA ALQADHI
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
1363LF0000XFamily Nurse Practitioner4704301908MI

General Provider Information

NPI Number : 1699388850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HANA ALQADHI
Provider Business Mailing Address
First Line : 18164 OUTER DR
Second Line :
City : DEARBORN
State : MI
Zip : 48128-1349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3902 MONROE ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48125-2545
Country : US
Telephone Number : 313-562-1985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2020
Last Update Date : 08/27/2020

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Directions to “ MRS. HANA ALQADHI ” Practice Location

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