Individual
EMAD ALATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18263 E 10 MILE RD STE D, ROSEVILLE, MI 48066-5805
(586) 238-2060
(586) 238-2061
Mailing address
18263 E 10 MILE RD STE D, ROSEVILLE, MI 48066-5805
(586) 238-2060
(586) 238-2061
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301069292
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301069292
MI
207RP1001X
Pulmonary Disease Physician
4301069292
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301069292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528018256
—
MI
01
—
MI4989142
MEDICARE PTAN
MI
Enumeration date
05/11/2006
Last updated
11/04/2024
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