Provider Demographics
NPI:1861736431
Name:AFANEH, AMER ABDUL-HAFIZ (MD)
Entity type:Individual
Prefix:
First Name:AMER
Middle Name:ABDUL-HAFIZ
Last Name:AFANEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:22151 MOROSS RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2167
Mailing Address - Country:US
Mailing Address - Phone:313-343-7849
Mailing Address - Fax:313-343-7091
Practice Address - Street 1:22151 MOROSS RD
Practice Address - Street 2:SUITE 212
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2167
Practice Address - Country:US
Practice Address - Phone:313-343-7849
Practice Address - Fax:313-343-7091
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101227208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIAS3062508-35OtherDEA