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 |
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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 |
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Provider Enumeration Date | 2005-09-02 |
Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
Address | 10 W Square Lake Rd |
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City | Bloomfield Hills |
State | Michigan (MI) |
Post Code | 483020465 |
Phone Number | 2483334900 |
Fax Number | 2483334905 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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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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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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