Basic Information
Provider Information
NPI: 1366067605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMAWI
FirstName: GABRIEL
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 HOUGHTON AVE
Address2:  
City: SAGINAW
State: MI
PostalCode: 486025303
CountryCode: US
TelephoneNumber: 9895836800
FaxNumber:  
Practice Location
Address1: 1000 HOUGHTON AVE
Address2:  
City: SAGINAW
State: MI
PostalCode: 486025303
CountryCode: US
TelephoneNumber: 9895836800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2020
LastUpdateDate: 06/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X5951001361MIN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207Q00000X5951001361MIN Allopathic & Osteopathic PhysiciansFamily Medicine 
207V00000X5951001361MIN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
2084P0800X5951001361MIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
208600000X5951001361MIN Allopathic & Osteopathic PhysiciansSurgery 
213E00000X5951001361MIY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

No ID Information.


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