Organization
MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEIA RUEDA CASAB SR. M.D, (PHYSICIAN)
(248) 247-5869
Entity
Organization
Contact information
Practice address
1320 WILKINS ST, DETROIT, MI 48207-4802
(313) 656-2150
Mailing address
1320 WILKINS ST, DETROIT, MI 48207-4802
(313) 656-2150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301033492
MI
207RC0000X
Cardiovascular Disease Physician
4301033492
MI
2085B0100X
Body Imaging Physician
4301024834
MI
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
4301024834
MI
2085N0700X
Neuroradiology Physician
4301024834
MI
2085R0202X
Diagnostic Radiology Physician
4301024834
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301024834
MI
2085U0001X
Diagnostic Ultrasound Physician
4301024834
MI
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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