Provider Demographics
NPI: | 1982951802 |
---|---|
Name: | CONTINUM HEALTHCARE SERVISES,MD |
Entity type: | Organization |
Organization Name: | CONTINUM HEALTHCARE SERVISES,MD |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CHADI |
Authorized Official - Middle Name: | YOUSSEF |
Authorized Official - Last Name: | SAAD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 313-608-8068 |
Mailing Address - Street 1: | 1645 N MILDRED ST |
Mailing Address - Street 2: | |
Mailing Address - City: | DEARBORN |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48128-1215 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 313-608-8068 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1645 N MILDRED ST |
Practice Address - Street 2: | |
Practice Address - City: | DEARBORN |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48128-1215 |
Practice Address - Country: | US |
Practice Address - Phone: | 313-608-8068 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-08-09 |
Last Update Date: | 2012-08-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MI | 4301091025 | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |