Provider Demographics
NPI:1861789125
Name:STERNLICHT, HILLEL (MD)
Entity type:Individual
Prefix:DR
First Name:HILLEL
Middle Name:
Last Name:STERNLICHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3670 WOODWARD AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2458
Mailing Address - Country:US
Mailing Address - Phone:757-894-7676
Mailing Address - Fax:844-391-7655
Practice Address - Street 1:6001 W OUTER DR STE 114
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2626
Practice Address - Country:US
Practice Address - Phone:757-894-7676
Practice Address - Fax:844-391-7655
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY264525207R00000X, 207RN0300X
IL036137586207R00000X, 207RN0300X
MI4301111958207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine