DR. KASSEM MAHMOUD HALLAK


Address: 616 Meijer St, Charlotte, MI 48813
Phone: 5175437800

DR. KASSEM MAHMOUD HALLAK (NPI# 1629140447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629140447
Entity Type Individual
Full Name DR. KASSEM MAHMOUD HALLAK
Credential MD MS
Practice Address 616 Meijer St
Charlotte
MI 48813
Mailing Address Po Box 327
Charlotte
MI 48813
Practice Telephone 5175437800
Practice Fax Number 5175437900
Mailing Telephone 5175437800
Mailing Fax Number 5175437900
Enumeration Date 2006-11-15
Last Update Date 2010-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301062401 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104863352 05

Office Location

Street Address 616 MEIJER ST
City CHARLOTTE
State MI
Zip Code 48813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154493971 Debbie Haymowattee Hallak Internal Medicine 616 Meijer St, Charlotte, MI 48813 2006-11-15
1053955633 David G Vandebunte Physician Assistant 616 Meijer St, Charlotte, MI 48813-8457 2019-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212072 Alexandria Bower-nelson Physician Assistant 1302 Porter Drive, Charlotte, MI 48813 2020-07-15
1477052702 Tayla Palacios Occupational Therapy Assistant 202 Warren St, Charlotte, MI 48813 2018-02-01
1043359417 Frederic Wagner Dentist 229 S Cochran Avenue, Charlotte, MI 48813 2007-02-05
1437171485 Eaton County Health and Rehabilitation Services Skilled Nursing Facility 530 W Beech St, Charlotte, MI 48813 2006-07-25
1689694671 Anthony E Marl Internal Medicine 123 Lansing St., Suite 3a, Charlotte, MI 48813 2006-07-20
1194754879 Jeannine M Brake-norder Optometrist 123 Lansing Street, Charlotte, MI 48813 2006-07-03
1922537356 Linda Gail Sherrill Counselor 114 E Lawrence Ave, Suite 130, Charlotte, MI 48813 2017-06-08
1801936000 John D Curtis Dentist 229 S Cochran Avenue, Charlotte, MI 48813 2007-02-07
1811036262 Painless Dentistry LLC Dentist 229 S Cochran Avenue, Charlotte, MI 48813 2007-02-05
1114066586 Abdul Shakfa Dentist 229 S Cochran Avenue, Charlotte, MI 48813 2007-02-05
Find all providers in zip 48813

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235745985 Alegis Care - North Carolina PC Family Medicine 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 2020-09-18
1902411077 Carolina Medical Partners Pllc Family Medicine 10535 Flennigan Way, Charlotte, NC 28277-1417 2020-09-15
1083226906 Relymd Medical Group Nc, Pllc Family Medicine 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 2020-08-21
1861019150 Novant Medical Group, Inc. Family Medicine 2701 Statesville Ave., Charlotte, NC 28206 2020-07-02
1881223139 Renew Health and Wellness Family Medicine 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 2020-04-07
1164052957 Partners In Integrated Healthcare & Wellness Pllc Family Medicine 9414b Albemarle Rd, Charlotte, NC 28227-3346 2020-01-21
1578103636 Madelyn Laine Eudy Family Medicine 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 2020-01-07
1518514686 L'renda Arkie Adams Family Medicine 8724 Bodkin Ct, Charlotte, NC 28215-7356 2019-08-22
1952956419 Heather Marie Anderson Family Medicine 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 2019-08-01
1003460213 Companion Health, Pllc Family Medicine 5029 Lady Fern Cir, Charlotte, NC 28211-4182 2019-07-25
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 48813

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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