Provider Demographics
NPI:1417349374
Name:HARHARA, HAMDAN M (DC)
Entity Type:Individual
Prefix:DR
First Name:HAMDAN
Middle Name:M
Last Name:HARHARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27209 LAHSER RD
Mailing Address - Street 2:STE 225
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8401
Mailing Address - Country:US
Mailing Address - Phone:313-350-2739
Mailing Address - Fax:
Practice Address - Street 1:27209 LAHSER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8401
Practice Address - Country:US
Practice Address - Phone:313-350-2739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor