Provider Demographics
NPI:1790048460
Name:ABDULAMEER, HALAH HASAN (MD)
Entity Type:Individual
Prefix:
First Name:HALAH
Middle Name:HASAN
Last Name:ABDULAMEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1969 W OGDEN AVE
Mailing Address - Street 2:APARTMENT 506
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3765
Mailing Address - Country:US
Mailing Address - Phone:773-837-1593
Mailing Address - Fax:
Practice Address - Street 1:550 N SHERMAN DR
Practice Address - Street 2:APARTMENT 506
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2266
Practice Address - Country:US
Practice Address - Phone:773-837-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101311208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery