Provider Demographics
NPI:1275915860
Name:SUKKAR, HADEEL A
Entity Type:Individual
Prefix:MS
First Name:HADEEL
Middle Name:A
Last Name:SUKKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1878 ORCHARDVIEW
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9655
Mailing Address - Country:US
Mailing Address - Phone:734-489-5073
Mailing Address - Fax:
Practice Address - Street 1:1878 ORCHARDVIEW
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-9655
Practice Address - Country:US
Practice Address - Phone:734-489-5073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other