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Organization
SUHA KASSAB DPM PC
Active
Organization
SUHA KASSAB DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY CABANAW (PRACTICE MANAGER)
(248) 333-4900
Entity
Organization
Contact information
Practice address
10 W SQUARE LAKE RD STE 300, BLOOMFIELD HILLS, MI 48302-0468
(248) 333-4900
(248) 333-4905
Mailing address
10 W SQUARE LAKE RD STE 300, BLOOMFIELD HILLS, MI 48302-0468
(248) 333-4900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5287600001
DME PTAN NUMBER
MI
Enumeration date
10/14/2024
Last updated
10/21/2024
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