Provider Demographics
NPI:1831987254
Name:HAMKA, ALAA
Entity type:Individual
Prefix:
First Name:ALAA
Middle Name:
Last Name:HAMKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7442 PINEHURST ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1514
Mailing Address - Country:US
Mailing Address - Phone:313-398-1970
Mailing Address - Fax:
Practice Address - Street 1:7442 PINEHURST ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1514
Practice Address - Country:US
Practice Address - Phone:313-398-1970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant