HALO ENDOCRINOLOGY (NPI# 1386101285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386101285 |
| Entity Type | Organization |
| Organization Name | HALO ENDOCRINOLOGY |
| Practice Address |
4160 John R St Ste 510 Detroit MI 48201-2021 |
| Mailing Address |
22720 Michigan Ave Ste 200 Dearborn MI 48124-2021 |
| Practice Telephone | 3139937777 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | HANADY BEYDOUN (OFFICE MANAGER) |
| Authorized Official Telephone | 3139937777 |
| Is Organization Subpart | Y |
| Parent Organization Name | HALO MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1548500333 | 05 | |
| CAQH | 14282742 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20240 W 12 Mile Rd, Southfield, MI 480762426 | 2484245000 | |
| 22720 Michigan Ave Ste 200, Dearborn, MI 481242021 | 3137913000 |
| Street Address |
4160 JOHN R ST STE 510 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962427260 | Mahir Darrar Elder | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2006-07-13 |
| 1073036869 | Hassan G Mohamed | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2017-07-24 |
| 1730561804 | Ahmad Murad | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2015-06-24 |
| 1811214489 | Halo Medical Group Pllc | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201 | 2010-04-22 |
| 1992032007 | Mahir D Elder Md PC | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2009-11-10 |
| 1457687584 | Tamam Mohamad | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2009-10-24 |
| 1275786378 | Fouzyh Almadrahi | Physician Assistant | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2008-11-03 |
| 1578716668 | Lamis Kobeissi | Physician Assistant | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2008-11-03 |
| 1417010315 | Deanna Latrise Freeman | Registered Nurse | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164633533 | Neelima Singh | Internal Medicine | University Health Center 4h, 4201 St. Antoine, Detroit, MI 48201 | 2007-05-25 |
| 1124012752 | Zaher Msallaty | Internal Medicine | 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 | 2005-09-09 |
| 1598760688 | Henry Grady Bone IIi | Internal Medicine | 22201 Moross Rd, Ste 260, Detroit, MI 48236-2175 | 2005-06-16 |
| 1235615840 | Ahmed Sawah Md PC | Internal Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2018-07-17 |
| 1417342486 | Bayan Chaker | Internal Medicine | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2015-04-06 |
| 1043549181 | Willie B Gibson Md PC | Internal Medicine | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2009-12-21 |
| 1639319809 | Pedro S. Franco, M.d., PC | Internal Medicine | 7633 E Jefferson Ave, Suite 360, Detroit, MI 48214-3730 | 2009-03-02 |
| 1710124466 | Nesreen Saadeh | Internal Medicine | 4201 Saint Antoine St, 4h, Detroit, MI 48201-2153 | 2009-01-17 |
| 1417120221 | Veena Ramchandra Watwe | Internal Medicine | 4201 Saint Antoine St, Uhc Suite 4h, Detroit, MI 48201-2153 | 2008-04-12 |
| 1235308735 | Jessica Eve Shill | Internal Medicine | 3031 W Grand Blvd, Suite 800, Detroit, MI 48202-3046 | 2008-02-28 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.