Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vincent Hannosh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861028821

Dr. Vincent Hannosh, MD is a Family Practice in Waterford, Michigan. Qualified in 2020, 6 years ago. Practices with Iha Ooma Primary LLC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Iha Waterford Primary 4400 Highland Rd
Waterford, MI 48328
Phone: (248) 618-6000
Fax: (248) 618-6951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301508677 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861028821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2020
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address24 Frank Lloyd Wright Dr, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Iha Ooma Primary Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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