Provider Demographics
NPI:1114120367
Name:MIKHAEL, HOSNI MONIR (MD)
Entity Type:Individual
Prefix:
First Name:HOSNI
Middle Name:MONIR
Last Name:MIKHAEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 MIX AVE. APT 507
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2118
Mailing Address - Country:US
Mailing Address - Phone:203-230-1607
Mailing Address - Fax:203-230-1607
Practice Address - Street 1:865 MIX AVE. APT 507
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2118
Practice Address - Country:US
Practice Address - Phone:203-230-1607
Practice Address - Fax:203-230-1607
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTIN PROCESS207L00000X
FLME100338207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology