Provider Demographics
NPI:1326002072
Name:HAMMAN, BARON L (MD)
Entity Type:Individual
Prefix:DR
First Name:BARON
Middle Name:L
Last Name:HAMMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:26901 BEAUMONT BLVD
Mailing Address - Street 2:STE 3D
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:214-841-2000
Mailing Address - Fax:214-841-2015
Practice Address - Street 1:3409 WORTH ST STE 500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2057
Practice Address - Country:US
Practice Address - Phone:214-841-2000
Practice Address - Fax:214-841-2015
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301501317207RC0000X
TXK3223208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B04GOtherBCBS
TX104735901Medicaid
TX87538JOtherBCBS
TX85G132Medicare PIN
TX104735901Medicaid