DR. ISSAM S ASAD (NPI# 1396941332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396941332 |
| Entity Type | Individual |
| Full Name | DR. ISSAM S ASAD |
| Credential | M.D. |
| Practice Address |
3435 Orchard Lake Rd Keego Harbor MI 48320 |
| Mailing Address |
7188 White Oak Dr West Bloomfield MI 48323 |
| Practice Telephone | 3132863277 |
| Mailing Telephone | 2484449044 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301078808 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 383601519 | 01 |
| MI | BCBSM GROUP NUMBER | 700H231390 | 01 |
| MI | BCBS OF MICHIGAN | 0F317940 | 01 |
| Street Address |
3435 ORCHARD LAKE RD |
| City | KEEGO HARBOR |
| State | MI |
| Zip Code | 48320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007168 | Abelardo G. Contreras | Psychiatry & Neurology | 3435 Orchard Lake Rd, Suite A, Keego Harbor, MI 48320-1315 | 2007-03-06 |
| 1891121901 | Keego Family Practice | Internal Medicine | 3435 Orchard Lake Rd, Keego Harbor, MI 48320-1315 | 2013-09-20 |
| 1184996738 | Keego Harbor Orthopedic | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320-1315 | 2012-01-29 |
| 1659654853 | Keego Harbor Urgent Care | Clinic/Center | 3435 Orchard Lake Rd, Suite A, Keego Harbor, MI 48320-1315 | 2011-09-23 |
| 1205050994 | Ahmad M Hadied | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1427272608 | Robert Bahman Khodadadeh | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1497878375 | Wb Dental Centers P.C. | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320-1315 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301158 | Suhila Cassini | Counselor | 3297 Orchard Lake Rd, Ste 107, Keego Harbor, MI 48320 | 2020-06-22 |
| 1619042777 | Julius James Sonkiss | Dentist | 3467 Orchard Lake Road, Keego Harbor, MI 48320 | 2006-11-22 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1669850830 | Kathryn Fawcett | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2015-05-08 |
| 1487843348 | Mariola Beata Vanderest | Physical Therapist | 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 | 2007-10-17 |
| 1447336128 | Mark I Rosenberg Dds PC | Dentist | 2819 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-10-27 |
| 1609887769 | Lydia Geraldine Vitale-loeschner | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-08-11 |
| 1588107825 | Covered By Faith | In Home Supportive Care | 3240 Pribham, Keego Harbor, MI 48320-0503 | 2016-11-18 |
| 1295188035 | Karin Jenkins Hofmann | Technician, Other | 1570 Kessler Ave, Keego Harbor, MI 48320-1000 | 2016-07-17 |
| 1346546934 | Cory Mullins | Social Worker | 1711 Cass Lake Rd, Keego Harbor, MI 48320-1047 | 2011-01-31 |
| Find all providers in zip 48320 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617948 | Garg and Associates Inc | General Practice | 2945 Orchard Lake Rd, Keego Harbor, MI 48320-1458 | 2006-10-03 |
| 1164516001 | Tilak R Garg | General Practice | 2945 Orchard Lake Rd, Keego Harbor, MI 48320-1458 | 2006-10-03 |
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| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | KEEGO HARBOR |
| Zip Code | 48320 |
Please comment or provide details below to improve the information on DR. ISSAM S ASAD.
| 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.