Provider Demographics
NPI:1154017903
Name:EMAMALIE, HAFFIZ MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:HAFFIZ
Middle Name:MICHAEL
Last Name:EMAMALIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MERIT HEALTH WESLEY/GME 5001 HARDY ST.
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:868-745-5462
Mailing Address - Fax:
Practice Address - Street 1:MERIT HEALTH WESLEY/GME 5001 HARDY ST.
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-296-3963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program