Provider Demographics
NPI:1952945529
Name:HAMZE, ABBASS (NP)
Entity Type:Individual
Prefix:
First Name:ABBASS
Middle Name:
Last Name:HAMZE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8188 N TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1433
Mailing Address - Country:US
Mailing Address - Phone:313-415-2500
Mailing Address - Fax:313-454-4105
Practice Address - Street 1:8188 N TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-1433
Practice Address - Country:US
Practice Address - Phone:313-415-2500
Practice Address - Fax:313-454-4105
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704313441163W00000X, 261QU0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care