Individual
DR. KASSEM M CHARARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6211 CHASE RD, DEARBORN, MI 48126-2107
(313) 581-1222
(313) 581-6657
Mailing address
6211 CHASE RD, DEARBORN, MI 48126-2405
(313) 581-1222
(313) 581-6657
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
KC060523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040957460
—
MI
01
—
383533086
COMERCIAL
MI
01
—
M18430001
MEDICARE ID
MI
Enumeration date
01/23/2006
Last updated
06/08/2023
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