Provider Demographics
NPI:1144070764
Name:CHEAITO, HASSAN ALI
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:ALI
Last Name:CHEAITO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37595 7 MILE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1489
Mailing Address - Country:US
Mailing Address - Phone:734-430-9388
Mailing Address - Fax:
Practice Address - Street 1:37595 7 MILE RD STE 210
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1489
Practice Address - Country:US
Practice Address - Phone:734-430-9388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program