Individual
ALAN TAHSIN GHASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
(248) 476-0660
(248) 476-1780
Mailing address
24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
(248) 476-0660
(248) 477-1780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301081430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636052
BC/BS
MI
01
—
0F33502
BCBSM
MI
05
—
4876520
—
MI
05
—
5194640
—
MI
Enumeration date
03/14/2006
Last updated
08/25/2011
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