| Hatahet Center PLLC | |
|
3901 Highland Rd Ste A Waterford MI 48328-2162 | |
| (248) 681-2226 | |
| (248) 681-6494 |
| Full Name | Hatahet Center PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3901 Highland Rd, Waterford, Michigan |
| Authorized Official Name and Position | Mohamad Ammar Hatahet (OWNER) |
| Authorized Official Contact | 2486812226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hatahet Center PLLC 3901 Highland Rd Ste A Waterford MI 48328-2162 Ph: (248) 681-2226 | Hatahet Center PLLC 3901 Highland Rd Ste A Waterford MI 48328-2162 Ph: (248) 681-2226 |
| NPI Number | 1629762497 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 5193183986 |
|---|---|
| Medicare Enrollment ID | O20230627001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629762497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Mohamad Ammar Hatahet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952364242 PECOS PAC ID: 2062477284 Enrollment ID: I20041129000828 |
| Provider Name | Justin Patrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366120982 PECOS PAC ID: 7113373663 Enrollment ID: I20231019002959 |
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