Provider Demographics
NPI:1346934882
Name:SAMHAT, REEM K (DC)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:K
Last Name:SAMHAT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:REEM
Other - Middle Name:K
Other - Last Name:KHALIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:46352 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8492
Mailing Address - Country:US
Mailing Address - Phone:313-615-9891
Mailing Address - Fax:
Practice Address - Street 1:46352 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-8492
Practice Address - Country:US
Practice Address - Phone:313-615-9891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor