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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528068020 | NPPES |
| Michigan | MEDICAID | 4201885 |
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