Provider Demographics
NPI:1629762497
Name:HATAHET CENTER PLLC
Entity Type:Organization
Organization Name:HATAHET CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:AMMAR
Authorized Official - Last Name:HATAHET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-681-2226
Mailing Address - Street 1:3901 HIGHLAND RD STE A
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2162
Mailing Address - Country:US
Mailing Address - Phone:248-681-2226
Mailing Address - Fax:248-681-6494
Practice Address - Street 1:3901 HIGHLAND RD
Practice Address - Street 2:STE A
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2162
Practice Address - Country:US
Practice Address - Phone:248-681-2226
Practice Address - Fax:248-681-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty