Individual
SOUHEIL GEBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, STE. 707, ROYAL OAK, MI 48073-6710
(248) 551-0487
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301406737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183568
—
MI
01
—
350F361320
BCBSM
MI
Enumeration date
03/24/2006
Last updated
07/31/2024
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