DR. TAREQ YOUSEF GOUSSOUS (NPI# 1356568828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356568828 |
Entity Type | Individual |
Full Name | DR. TAREQ YOUSEF GOUSSOUS |
Credential | M.D. |
Practice Address |
16001 West 9 Mile Road Southfield MI 48075 |
Mailing Address |
35783 Woodridge Curt Bldg#31, Apt.106 Farmington Hills MI 48335 |
Practice Telephone | 2483675739 |
Mailing Telephone | 2483675739 |
Mailing Fax Number | 2484712323 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301081511 | MI | Allopathic & Osteopathic Physicians |
Street Address |
16001 WEST 9 MILE ROAD |
City | SOUTHFIELD |
State | MI |
Zip Code | 48075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851820641 | Independent Hospitalist Physicians, Pllc | Hospitalist | 16001 West 9 Mile Road, Southfield, MI 48075-4818 | 2017-06-06 |
1154692523 | Felicia Marie Wallace | Nurse Practitioner | 16001 West 9 Mile Road, Southfield, MI 48075 | 2012-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
Find all providers in zip 48075 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
1467749424 | Robert M Marcotte | Internal Medicine | 27177 Lahser Rd Ste 103, Southfield, MI 48034-8467 | 2011-06-28 |
1962705004 | Roshni Mukesh Shah | Internal Medicine | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2010-12-13 |
1831284991 | Cardiovascular Associates PC | Internal Medicine | 27177 Lahser, Suite 103, Southfield, MI 48034 | 2006-10-04 |
1982643722 | Raj & Associates M.d. P.C. | Internal Medicine | 26222 Telegraph Rd, Ste 100, Southfield, MI 48034 | 2006-06-06 |
1760467054 | Franklin E Hull | Internal Medicine | 22250 Providence Dr., Ste #705, Southfield, MI 48075 | 2005-12-09 |
1760472328 | Kamalesh Lahiri | Internal Medicine | 18500 W 12 Mile Rd, Suite 1, Southfield, MI 48076-2674 | 2005-10-25 |
1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
1508214321 | Andrew Davis Assaf | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-06-02 |
1114304755 | Midwest Comprehensive Cardiovascular Care Pllc | Internal Medicine | 27209 Lahser Rd, Suite 226, Southfield, MI 48034-8401 | 2015-05-04 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48075 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.