Hatahet, Mohamad Hazem

Hatahet, Mohamad Hazem is an individual health care provider with primary practice located at 7007 Lighthouse Way , Perrysburg OH 43551-7000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Hatahet, Mohamad Hazem can be contacted via phone (419) 874-3246.

Contact Information

Primary practice address
7007 Lighthouse Way Perrysburg OH 43551-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301081495 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35088079 Ohio

Profile Details

NPI number 1275552275
LBN Legal business name Hatahet, Mohamad Hazem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 9th, 2016 - about 8 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 1275552275 NPPES
Ohio Other P00409913 RR MEDICARE
Ohio MEDICAID 2701259 RR MEDICARE

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