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DR. KASSEM MAHMOUD HALLAK MD MS
NPI 1629140447
Family Medicine in Charlotte, MI

Active since November 15, 2006
616 MEIJER ST, CHARLOTTE, MI 48813(517) 543-7800(517) 543-7900 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kassem Mahmoud Hallak Md Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KASSEM MAHMOUD HALLAK MD MS (NPI 1629140447) is an individual family medicine provider in Charlotte, Michigan, licensed in Michigan (4301062401) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629140447
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KASSEM MAHMOUD HALLAKCredential: MD MS
Location Address616 MEIJER STCharlotte, MI 48813
Mailing AddressPo Box 327Charlotte, MI 48813 · (517) 543-7800 · Fax (517) 543-7900
Phone(517) 543-7800
Fax(517) 543-7900
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 8, 2010
✔ NPI 1629140447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301062401
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.
616 MEIJER ST, Charlotte, MI 48813
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Other Identifiers 3

Medicare ID-Type UnspecifiedP25920002
Medicaid104863352MI
Medicare UPING18780

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID G VANDEBUNTE PA-C
Physician Assistant
616 MEIJER ST
CHARLOTTE, MI 48813
Eaton County (517) 541-5935
DR. DEBBIE HAYMOWATTEE HALLAK DO
Internal Medicine
616 MEIJER ST
CHARLOTTE, MI 48813
Eaton County (517) 543-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassem Hallak's NPI number?

The NPI number for Kassem Hallak is 1629140447. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Kassem Hallak located?

Kassem Hallak practices at 616 Meijer St, Charlotte, MI 48813. The listed phone number is (517) 543-7800.

What is Kassem Hallak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kassem Hallak was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.