Organization
ALAN T GHASSAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN T GHASSAN MD (OWNER)
(248) 477-9800
Entity
Organization
Contact information
Practice address
24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
(248) 477-9800
(248) 477-9801
Mailing address
24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
(248) 477-9800
(248) 477-9801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AG081430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35639
BCBSM
MI
01
—
1106360522
BLUE CARE NETWORK
MI
01
—
143417
CARE CHOICES
MI
05
—
5194640
—
MI
01
—
57513
TOTAL HEALTH CARE
MI
Enumeration date
07/11/2007
Last updated
02/21/2012
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