Provider Demographics
NPI:1134377450
Name:HANNA, NEMER EBEID (M,D)
Entity type:Individual
Prefix:DR
First Name:NEMER
Middle Name:EBEID
Last Name:HANNA
Suffix:
Gender:M
Credentials:M,D
Other - Prefix:
Other - First Name:NEMER
Other - Middle Name:EBEID
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7214 DANBROOKE
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2927
Mailing Address - Country:US
Mailing Address - Phone:248-762-0946
Mailing Address - Fax:
Practice Address - Street 1:7214 DANBROOKE
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2927
Practice Address - Country:US
Practice Address - Phone:248-762-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301047025170100000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics