Provider Demographics
NPI:1396243432
Name:HAMI, SONYA
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:HAMI
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 1:44463 BAYVIEW AVE APT 31113
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-7343
Mailing Address - Country:US
Mailing Address - Phone:248-909-8296
Mailing Address - Fax:
Practice Address - Street 1:2971 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7032
Practice Address - Country:US
Practice Address - Phone:248-288-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist