Organization Name: | ALI ISSA SOBH MD |
NPI Number: | 1013364041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALI ISSA SOBH (RESIDENT PHYSICIAN) |
Mailing Address: | 24333 Orchard Lake Rd Ste C Farmington Hills |
State: | MI US |
Postal Code: | 483361976 |
Phone Number: | 2488493000 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2016 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |