Provider Demographics
NPI:1275736886
Name:ZMILY, HAMMAM DARWEESH (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMMAM
Middle Name:DARWEESH
Last Name:ZMILY
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 1:3057 FANTAIL CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4296
Mailing Address - Country:US
Mailing Address - Phone:313-674-0034
Mailing Address - Fax:
Practice Address - Street 1:1629 W BIG BEAVER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3542
Practice Address - Country:US
Practice Address - Phone:248-480-0363
Practice Address - Fax:248-480-0369
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085958207R00000X, 207RC0000X, 207RI0011X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1275736886Medicaid
MIMI7208002Medicare PIN