Kassab, Suha F

Kassab, Suha F is an individual health care provider with primary practice located at 10 W Square Lake Rd Ste. 300, Bloomfield Hills MI 48302-0465. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kassab, Suha F can be contacted via phone (248) 333-4900.

Contact Information

Primary practice address
10 W Square Lake Rd Ste. 300 Bloomfield Hills MI 48302-0465
Phone: (248) 333-4900
Fax: (248) 333-4905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SK001415 Michigan

Profile Details

NPI number 1902890015
LBN Legal business name Kassab, Suha F
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 21st, 2010 - about 14 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 1902890015 NPPES
Michigan MEDICAID 2592751
Michigan Other 4858252030
Michigan Other 5287600001

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