Provider Demographics
NPI:1134355944
Name:HAMADE, NADIA (PA-C)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:HAMADE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15301 TIREMAN AVE
Mailing Address - Street 2:STE A
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1045
Mailing Address - Country:US
Mailing Address - Phone:313-633-1483
Mailing Address - Fax:313-633-1812
Practice Address - Street 1:6050 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-6004
Practice Address - Country:US
Practice Address - Phone:313-945-9000
Practice Address - Fax:313-945-7500
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601005539363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant