Soodad Rabban (NPI# 1710348503, PAC ID# 0840577268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710348503 |
| PAC ID by PECOS | 0840577268 |
| Professional Enrollment ID | I20170511001691 |
| Full Name | Soodad Rabban |
| Organization Legal Name | FORUM MEDICAL CLINIC, PC |
| Address |
43184 Dequindre Rd Suite 202 Sterling Hts MI 48314-1709 |
| Phone Number | 5865800280 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991723876 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 43184 Dequindre Rd, Suite 202, Sterling Hts, MI 48314-1709 | 5865800280 | FORUM MEDICAL CLINIC, PC |
| Organization Legal Name | FORUM MEDICAL CLINIC, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sami E Asmar | Internal Medicine | Forum Medical Clinic, PC | 25625 Schoenherr Rd, Suite 300, Warren, MI 48089-1499 |
| Rita Cangemi | Nurse Practitioner | Forum Medical Clinic, PC | 43184 Dequindre Rd, Suite 202, Sterling Hts, MI 48314-1709 |
| Nicolas A Marsheh | Internal Medicine | Forum Medical Clinic, PC | 25625 Schoenherr Rd, Suite 300, Warren, MI 48089-1499 |
| Christine N Otto | Nurse Practitioner | Forum Medical Clinic, PC | 25625 Schoenherr Rd, Suite 300, Warren, MI 48089-1499 |
| Street Address |
43184 DEQUINDRE RD SUITE 202 |
| City | STERLING HTS |
| State | MI |
| Zip | 48314-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Cangemi | Nurse Practitioner | Forum Medical Clinic, PC | 43184 Dequindre Rd, Suite 202, Sterling Hts, MI 48314-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald B Hunt | Family Medicine | William Beaumont Hospital | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 |
| Srikala Yedavally Yellayi | Family Medicine | William Beaumont Hospital | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 |
| Florence J Acosta | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| Donna Warner Manczak | Psychologist, Clinical | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| John F Oleary | Psychologist, Clinical | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| Anne S Van Dyke | Clinical Psychologist | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Hts, MI 48314-1003 |
| Madeleine A Hasbrook | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Mark A Rolain | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Kristin Bratek | Optometry | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Agatha Y Obertynski | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Find all physicians in zip 48314 | |||
| City | STERLING HTS |
| Zip Code | 48314 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STERLING HTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Soodad Rabban.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.