Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301103082 | MI |
N | 111NI0900X | Internist | 4301103082 | MI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301103082 | MI |
NPI | 1033556360 |
---|---|
Provider Name | Dania Salim Assad |
First Address | Detroit, MI 48201-2153 |
Second Address | Southfield, MI 48075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 11/06/2018 |