Provider Demographics
NPI:1275160541
Name:HAMATI, NABIL (DPM)
Entity Type:Individual
Prefix:
First Name:NABIL
Middle Name:
Last Name:HAMATI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17635 PARKSHORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8577
Mailing Address - Country:US
Mailing Address - Phone:248-924-7942
Mailing Address - Fax:
Practice Address - Street 1:17635 PARKSHORE DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-8577
Practice Address - Country:US
Practice Address - Phone:248-924-7942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program