Provider Demographics
NPI:1952320293
Name:MESIHA, NANCY ATTIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ATTIA
Last Name:MESIHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50505 SCHOENHERR RD
Mailing Address - Street 2:SUITE320
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3140
Mailing Address - Country:US
Mailing Address - Phone:586-580-3062
Mailing Address - Fax:586-580-3143
Practice Address - Street 1:25910 KELLY RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4466
Practice Address - Country:US
Practice Address - Phone:586-772-3366
Practice Address - Fax:586-772-3355
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-02-05
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Provider Licenses
StateLicense IDTaxonomies
MI4301075113207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301075113OtherPHYSICIAN'S LICENSE
MI4754250Medicaid
MI4754250Medicaid
0Q24564-002Medicare PIN
0N40870006Medicare PIN