Issawi, Imad
Issawi, Imad is an individual health care provider with primary practice located at 6122 W Pierson Rd Unit 1, Flushing MI 48433-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Issawi, Imad can be contacted via phone (810) 600-3399.Contact Information
Primary practice address
6122 W Pierson Rd Unit 1
Flushing MI 48433-3104
Phone: (810) 600-3399
Fax: (810) 600-3398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301406524 | Michigan |
Profile Details
| NPI number | 1174590228 |
|---|---|
| LBN Legal business name | Issawi, Imad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jun 3rd, 2016 - about 8 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 | 1174590228 | NPPES |
| Michigan | MEDICAID | 1174590228 | |
| Michigan | Other | 1042237 |
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