Individual
GHASSAN DALLOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37799 PROFESSIONAL CENTER DR STE 105, LIVONIA, MI 48154-1123
(248) 878-3171
(248) 928-0916
Mailing address
PO BOX 182005, SHELBY TWP, MI 48318-2005
(248) 878-3171
(248) 928-0916
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
4301087543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447466016
—
MI
01
—
4301087543
STATE LICENSE
—
Enumeration date
05/14/2007
Last updated
04/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us