Khatchadour Hamamdjian, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301037656 Issued in MI

Practice address

27177 Lahser Rd
Suite Number 104
Southfield, MI 48034-4714

Phone

(248) 353-6580

Fax

(248) 353-0883

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413590400000",
    "number": "1053448332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MANORWOOD DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042133",
            "telephone_number": "248-642-1389",
            "fax_number": "248-642-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27177 LAHSER RD",
            "address_2": "SUITE NUMBER 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344714",
            "telephone_number": "248-353-6580",
            "fax_number": "248-353-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAMDJIAN",
        "first_name": "KHATCHADOUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301037656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2806302021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halo Harmony, LLC
• Halo Health LLC
• Halo PT & Rehab
• Ronda Halsey
• Jennifer Jane Ham, M.A., L.P.C.
• Mackenzie Hamann
• Charice Hamber, TLLP
• Keanna Hamelink
• Hamid Sattar MD PC
• Hussein Hamid, M.D.

• Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.