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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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