Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PROVIDENCE PARK INTERNAL MEDICINE PC
Active
Organization
PROVIDENCE PARK INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUHA A QASIM MD (PRESIDENT)
(248) 891-4074
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 450, NOVI, MI 48374-1213
(248) 891-4074
Mailing address
26850 PROVIDENCE PKWY, SUITE 450, NOVI, MI 48374-1213
(248) 891-4074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301089716
MI
Other
Enumeration date
12/22/2014
Last updated
01/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up