Ballouz, Samer

Ballouz, Samer is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Suite 204, Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ballouz, Samer can be contacted via phone (248) 551-2446.

Contact Information

Primary practice address
3577 W 13 Mile Rd Suite 204 Royal Oak MI 48073-6710
Phone: (248) 551-2446
Fax: (248) 551-1094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301055648 Michigan

Profile Details

NPI number 1528068020
LBN Legal business name Ballouz, Samer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528068020 NPPES
Michigan MEDICAID 4201885

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