Hesham Hanfy Abdelkader, BACHELOR DEGREE
Individual provider Active NPI Physical Therapist · Davison, MI
NPI 1740494657 · NPPES record last updated Oct 5, 2007
Key facts
- NPI
- 1740494657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501006715 (MI)
- Practice address
- 1248 N Irish Rd
Davison, MI 48423-2213 - Phone
- (810) 503-0986
- Fax
- (810) 503-0990
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071107000175 | MI | Practitioner - Physical Therapist in Private Practice | 0941396402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006715 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jawad a Shah, MD PC | Current |
Accepting new patients | |
| Jawad a Shah MD PC | Current |
Accepting new patients | |
| Hesham Abdelkader | Physical Therapist | Past |
Accepting new patients |
Locations
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006715 | MI | Yes |
Addresses
Primary practice location
1248 N Irish Rd
Davison, MI 48423-2213
Mailing address
1248 N Irish Rd
Davison, MI 48423-2213
Phone (810) 503-0986
Other providers in Davison, MI
- 32 Pearls, PLLC
- Cheryl M Abernathy
- Acer Home Care, Inc.
- Vinay Kumar Achuri
- Arianna Lynn Adams
- Sadie Adams
All providers in Davison, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.