Suha Kassab Dpm Pc

LBN: Suha Kassab Dpm Pc
Suha Kassab Dpm Pc is an health care organization with primary practice located at 10 W Square Lake Rd Ste300, Bloomfield Hills MI 48302-0465. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Suha Kassab Dpm Pc can be contacted via phone (248) 333-4900, or through Kassab, Suha via phone (248) 333-4900.

Contact Information

Primary practice address
10 W Square Lake Rd Ste300 Bloomfield Hills MI 48302-0465
Phone: (248) 333-4900
Fax: (248) 333-4905
Website:
Map and Directions
Authorized official contact:
Name: Kassab, Suha Doctor of Podiatric Medicine (DPM)
Phone: (248) 333-4900

Health care specialties

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

Profile Details

NPI number 1619149010
LBN Legal business name Suha Kassab Dpm Pc
DBA Doing business as
Authorized official Kassab, Suha Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2008
Last updated Jan 28th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619149010 NPPES
Michigan MEDICAID 2592751
Michigan Other SK001415

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