Provider Demographics
NPI:1225230204
Name:ELHASSAN, MAHA E (MBBS)
Entity Type:Individual
Prefix:DR
First Name:MAHA
Middle Name:E
Last Name:ELHASSAN
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:4201 ST. ANTOINE
Mailing Address - Street 2:UNIVERSITY PEDIATRICIANS UHC 5D MAILBOX# 226
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-0665
Practice Address - Street 1:3950 BEAUBIEN 3RD FLOOR
Practice Address - Street 2:CHM SPECIALTY CTR
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-832-9220
Practice Address - Fax:313-993-8977
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2015-11-20
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Provider Licenses
StateLicense IDTaxonomies
MI43011001432080P0205X, 208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics