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Contact Information

ISSAM S ASAD, MD
3435 ORCHARD LAKE RD
KEEGO HARBOR, MI48320
 Phone: 313-286-3277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ISSAM S ASAD · (Male)

NPI # 1396941332
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2007
Last updated 10/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301078808
  • MI Other 0F317940 BCBS OF MICHIGAN
  • MI Other 700H231390 BCBSM GROUP NUMBER
  • MI Other 383601519 TAX ID
Hospital affiliation(s)
  • OAKWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    18101 OAKWOOD BLVD
    DEARBORN, MI 48124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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