Provider Demographics
NPI:1174250658
Name:HANI MEKHAEL MD II PLLC
Entity type:Organization
Organization Name:HANI MEKHAEL MD II PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-604-8476
Mailing Address - Street 1:906 MAJESTIC
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3575
Mailing Address - Country:US
Mailing Address - Phone:586-604-8476
Mailing Address - Fax:
Practice Address - Street 1:3265 FIVE POINTS DR STE A
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2337
Practice Address - Country:US
Practice Address - Phone:248-609-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty