Provider Demographics
NPI:1366063927
Name:BARRAWI, HADEEL GHAZI (DO)
Entity type:Individual
Prefix:
First Name:HADEEL
Middle Name:GHAZI
Last Name:BARRAWI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASCENSION GENESYS HOSPITAL, OFFICE OF MEDICAL EDUCATION
Mailing Address - Street 2:ONE GENESYS PARKWAY
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439
Mailing Address - Country:US
Mailing Address - Phone:810-606-5985
Mailing Address - Fax:
Practice Address - Street 1:ASCENSION GENESYS HOSPITAL, OFFICE OF MEDICAL EDUCATION
Practice Address - Street 2:ONE GENESYS PARKWAY
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439
Practice Address - Country:US
Practice Address - Phone:810-606-5985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5151014249207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine