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Organization

EMAD ALATASSI MD, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMAD ALATASSI M.D. (OWNER)
(586) 778-3478
Entity
Organization

Contact information

Practice address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-3478
(586) 778-3496
Mailing address
43750 GARFIELD RD, SUITE 211, CLINTON TOWNSHIP, MI 48038-1135
(877) 996-9975
(586) 228-4533

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MI
207RP1001X
Pulmonary Disease Physician
Primary
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0825742
BCBS PIN FADIJEAN SAAD MD
MI
01
0826142
BCBS PIN EMAD ALATASSI MD
MI
01
1174573816
NPI FADI-JEAN SAAD, MD
MI
01
1528018256
NPI EMAD ALATASSI MD
MI
01
290H239650
BCBS PIN NUMBER
MI
01
EA069292
LICENSE EMAD ALATASSI MID
MI
01
FS087234
LICENSE FADI-JEAN SAAD, M
MI
Enumeration date
06/29/2007
Last updated
06/18/2013
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