Provider Demographics
NPI:1396740825
Name:SIPAHI, HIKMET H II (MD)
Entity type:Individual
Prefix:DR
First Name:HIKMET
Middle Name:H
Last Name:SIPAHI
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 E SHERMAN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-1816
Mailing Address - Country:US
Mailing Address - Phone:231-737-3469
Mailing Address - Fax:231-737-4548
Practice Address - Street 1:1440 E SHERMAN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-1816
Practice Address - Country:US
Practice Address - Phone:231-737-3469
Practice Address - Fax:231-737-4548
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIHS402829207RH0003X
MI4301402829174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0611077OtherBCBS OF MICHIGAN
MI1840158Medicaid
MI110D148530OtherBCBSM PIN
MI0611077OtherBCBS OF MICHIGAN
MI110D148530OtherBCBSM PIN
MIE25994Medicare UPIN