Basic Information
| Provider Information | |||||||||
| NPI: | 1982951802 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONTINUM HEALTHCARE SERVISES,MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1645 N MILDRED ST | ||||||||
| Address2: | |||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481281215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3136088068 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1645 N MILDRED ST | ||||||||
| Address2: | |||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481281215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3136088068 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2012 | ||||||||
| LastUpdateDate: | 08/09/2012 | ||||||||
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| AuthorizedOfficialLastName: | SAAD | ||||||||
| AuthorizedOfficialFirstName: | CHADI | ||||||||
| AuthorizedOfficialMiddleName: | YOUSSEF | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3136088068 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301091025 | MI | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.