Hadla, Tarek Salim

Hadla, Tarek Salim is an sole proprietor health care provider with primary practice located at 23902 Ford Rd Suite A, Dearborn Heights MI 48127-3246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hadla, Tarek Salim can be contacted via phone (313) 562-4700.

Contact Information

Primary practice address
23902 Ford Rd Suite A Dearborn Heights MI 48127-3246
Phone: (313) 562-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125052101 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301095806 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301095806 Michigan

Profile Details

NPI number 1568636629
LBN Legal business name Hadla, Tarek Salim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Jun 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568636629 NPPES
Michigan Other 2509511472 BCBS IND
Michigan Other DP595 BCBS IND
Michigan Other P00820812 BCBS IND
Michigan Other 1568636629 BCBS IND
Michigan Other IL2613 BCBS IND
Michigan Other P00950697 BCBS IND
Michigan MEDICAID 15686363329 BCBS IND
Michigan Other 2509511472 BCBS IND

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