Provider Demographics
NPI:1255542296
Name:HENRY FORD HOSPITAL
Entity type:Organization
Organization Name:HENRY FORD HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BITAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-916-1023
Mailing Address - Street 1:5430 WESSEX CT APT 110
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2676
Mailing Address - Country:US
Mailing Address - Phone:313-916-1023
Mailing Address - Fax:
Practice Address - Street 1:5430 WESSEX CT APT 110
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2676
Practice Address - Country:US
Practice Address - Phone:313-916-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital