Provider Demographics
NPI:1396709259
Name:MEKHAEL, HANY YOUSSEF FARAG (MD)
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:YOUSSEF FARAG
Last Name:MEKHAEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:43200 DEQUINDRE RD
Mailing Address - Street 2:STE 104
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1707
Mailing Address - Country:US
Mailing Address - Phone:586-799-4350
Mailing Address - Fax:586-799-4279
Practice Address - Street 1:906 MAJESTIC
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3575
Practice Address - Country:US
Practice Address - Phone:810-794-7750
Practice Address - Fax:844-269-7554
Is Sole Proprietor?:No
Enumeration Date:2006-04-16
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010802422084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630583Medicare PIN