Suha F Kassab in Bloomfield Hills - Podiatrist

Suha F Kassab - NPI 1902890015

Suha F Kassab is a Podiatrist in Bloomfield Hills, Michigan. Suha F Kassab practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Suha F Kassab is 1902890015. The last update date is 2010-09-21.

Suha F Kassab's current location address is 10 W Square Lake Rd, Bloomfield Hills, Michigan. You can contact this provider via phone number 2483334900 and fax number 2483334905. The mailing address for Suha F Kassab is 10 W Square Lake Rd, Bloomfield Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Suha F Kassab
Address 10 W Square Lake Rd, Bloomfield Hills, Michigan
Phone Number 2483334900
Fax Number 2483334905
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1902890015
Provider Enumeration Date 2005-09-02
Last Updated Date 2010-09-21

Provider Mailing Address Detail

Address 10 W Square Lake Rd
City Bloomfield Hills
State Michigan (MI)
Post Code 483020465
Phone Number 2483334900
Fax Number 2483334905

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No SK001415
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2592751 MI --
4858252030 MI BC
5287600001 MI DME

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FAQs about Suha F Kassab

What is the unique 10-digit identification code assigned to Suha F Kassab by the Centers for Medicare & Medicaid Services?

The Suha F Kassab has been issued the NPI (National Provider Identifier) 1902890015, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Suha F Kassab?

The Suha F Kassab is situated at 10 W Square Lake Rd, in the city of Bloomfield Hills, state of MI, with the zip code 483020465.

What is Suha F Kassab's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Suha F Kassab's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1902890015 to Suha F Kassab?

The Centers for Medicare & Medicaid Services assigned the 1902890015 to Suha F Kassab on 2005-09-02.

When was the information regarding Suha F Kassab most recently updated?

The details pertaining to the Suha F Kassab, including its address, specialty, and other relevant information, were last refreshed on 2010-09-21.

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