Organization
INTERNAL MEDICINE SPECIALTIES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALAZ ALATASSI MD (MANAGER)
(248) 953-0526
Entity
Organization
Contact information
Practice address
21409 KELLY RD STE 400, EASTPOINTE, MI 48021-3264
(586) 777-0630
(586) 777-0631
Mailing address
21409 KELLY RD STE 400, EASTPOINTE, MI 48021-3264
(586) 777-0630
(586) 777-0631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105004461
BCBSM
MI
01
—
1265559488
DR M HAMMOUDE NPI
MI
01
—
1457583692
GROUP NPI
MI
05
—
1457583692
—
MI
01
—
1841571544
DR SUNBULI NPI
MI
Enumeration date
08/21/2009
Last updated
09/19/2025
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