Provider Demographics
NPI:1942003637
Name:HACHEM, ZEINA HASSAN
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:HASSAN
Last Name:HACHEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 LAPHAM ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3471
Mailing Address - Country:US
Mailing Address - Phone:313-377-2120
Mailing Address - Fax:
Practice Address - Street 1:4004 LAPHAM ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3471
Practice Address - Country:US
Practice Address - Phone:313-377-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant