Organization
ELIAS H KASSAB MD PLLC
Active
Other names
Dearborn Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS H KASSAB MD (OWNER/PRESIDENT)
(313) 724-9000
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
(313) 724-9000
(313) 562-9300
Mailing address
1360 PORTER ST, SUITE 100, DEARBORN, MI 48124-2823
(313) 724-9000
(313) 562-9300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301047006
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301047006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437585106
—
MI
Enumeration date
09/25/2013
Last updated
01/12/2022
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