Hafez, Khaled Samir

Hafez, Khaled Samir is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hafez, Khaled Samir can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301078224 Michigan

Profile Details

NPI number 1144311564
LBN Legal business name Hafez, Khaled Samir
Credentials MB, BCH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 5th, 2020 - about 4 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 1144311564 NPPES
Michigan MEDICAID 4630539

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