Basic Information
Provider Information
NPI: 1124550215
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAFFAR
FirstName: AMMAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
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Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DRIVE
Address2: SUITE J2000
City: ANN ARBOR
State: MI
PostalCode: 48105
CountryCode: US
TelephoneNumber: 7347476766
FaxNumber:  
Practice Location
Address1: IHA HOSPITAL MEDICINE SERVICES
Address2: 5301 E HURON RIVER DRIVE
City: YPSILANTI
State: MI
PostalCode: 48197
CountryCode: US
TelephoneNumber: 7347128676
FaxNumber: 3043888238
Other Information
ProviderEnumerationDate: 03/29/2017
LastUpdateDate: 11/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X5101027072MIY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X3644WVN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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