Provider Demographics
NPI:1659310498
Name:ALAMAT, IHAB SALEH-JOE (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:IHAB
Middle Name:SALEH-JOE
Last Name:ALAMAT
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:IHAB SALEH
Other - Last Name:ALAMAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:51685 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4449
Mailing Address - Country:US
Mailing Address - Phone:586-924-2038
Mailing Address - Fax:586-323-1644
Practice Address - Street 1:51685 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4449
Practice Address - Country:US
Practice Address - Phone:586-924-2038
Practice Address - Fax:586-323-1644
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010168051223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0503550OtherBCBS MEDICAL
MI5501882OtherBCBS DENTAL
MI0205014602OtherBC MED/SURG PIN
MI9755012550OtherBLUE CROSS PIN