Provider Demographics
NPI:1194024364
Name:HAMADEH, SALIM A
Entity Type:Individual
Prefix:
First Name:SALIM
Middle Name:A
Last Name:HAMADEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37650 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 1010A
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1197
Mailing Address - Country:US
Mailing Address - Phone:734-432-7070
Mailing Address - Fax:
Practice Address - Street 1:37650 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 1010A
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1197
Practice Address - Country:US
Practice Address - Phone:734-432-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-27
Last Update Date:2017-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099330207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine