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Individual

DR. SOUHEIL SABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22250 PROVIDENCE DR, STE 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510
Mailing address
22250 PROVIDENCE DR, STE 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301058284
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4386725
MI
01
OF360210
MEDICARE ID TYPE UNSPECIFIED
MI
Enumeration date
11/29/2005
Last updated
02/24/2014
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