Provider Demographics
NPI:1710015276
Name:HANBALI, AMR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMR
Middle Name:
Last Name:HANBALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1350 W BETHUNE ST
Mailing Address - Street 2:APT 710
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2600
Mailing Address - Country:US
Mailing Address - Phone:313-641-6289
Mailing Address - Fax:313-916-7911
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-8219
Practice Address - Fax:313-916-7911
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301078116207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology