| Emad Alatassi Md, P.c. | |
|
18263 E 10 Mile Rd Suite D Roseville MI 48066-5805 | |
| (586) 778-3478 | |
| (586) 778-3496 |
| Full Name | Emad Alatassi Md, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18263 E 10 Mile Rd, Roseville, Michigan |
| Authorized Official Name and Position | Emad Alatassi (OWNER) |
| Authorized Official Contact | 5867783478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emad Alatassi Md, P.c. 43750 Garfield Rd Suite 211 Clinton Township MI 48038-1135 Ph: (877) 996-9975 | Emad Alatassi Md, P.c. 18263 E 10 Mile Rd Suite D Roseville MI 48066-5805 Ph: (586) 778-3478 |
| NPI Number | 1447457734 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 06/18/2013 |
| Medicare PECOS PAC ID | 6204860463 |
|---|---|
| Medicare Enrollment ID | O20050927000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447457734 | NPI | - | NPPES |
| 1528018256 | Other | MI | NPI EMAD ALATASSI MD |
| EA069292 | Other | MI | LICENSE EMAD ALATASSI MID |
| 0826142 | Other | MI | BCBS PIN EMAD ALATASSI MD |
| 290H239650 | Other | MI | BCBS PIN NUMBER |
| FS087234 | Other | MI | LICENSE FADI-JEAN SAAD, M |
| 1174573816 | Other | MI | NPI FADI-JEAN SAAD, MD |
| 0825742 | Other | MI | BCBS PIN FADIJEAN SAAD MD |
| Provider Name | Malaz Alatassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023069770 PECOS PAC ID: 3678467578 Enrollment ID: I20040211000826 |
| Provider Name | Emad Al Alatassi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528018256 PECOS PAC ID: 6507829678 Enrollment ID: I20041109001093 |
| Provider Name | Fadi-jean Saad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174573810 PECOS PAC ID: 0143232827 Enrollment ID: I20060620000324 |
| Provider Name | Eiad A Kseibi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356363311 PECOS PAC ID: 9739284027 Enrollment ID: I20070416000104 |
| Provider Name | Muhammad U Alam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164628400 PECOS PAC ID: 0547569014 Enrollment ID: I20160504002340 |
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