Doctor Name: | REHAM HAROUN |
NPI Number: | 1053769299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301109454 |
Business Practice Address: | 16001 W. Nine Mile Road Providence-providence Park Hospitals - Southfield Southfield, MI - 48075 |
Business Phone Number: | 2488495664 |
Business Fax Number: | |
Mailing Address: | 16001 W 9 Mile Rd, 4th Floor Fisher Center-department Of Medical Education SOUTHFIELD |
State: | MI |
Postal Code: | 480754818 |
Phone Number: | 2488495664 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301109454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |