Individual
ALI SOUEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
640 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 893-7460
(989) 895-5813
Mailing address
640 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 893-7460
(989) 895-5813
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24151
WV
207RP1001X
Pulmonary Disease Physician
Primary
24151
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018693
—
WV
01
—
P00858195
MEDICARE RAILROAD
—
Enumeration date
06/22/2007
Last updated
12/03/2012
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