| Doctor Name: | ADHAM ALSAMSAM |
| NPI Number: | 1578711636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301092834 |
| Business Practice Address: | 1322 E Michigan Avenue Suite 220 Lansing, MI - 48912 |
| Business Phone Number: | 5173642577 |
| Business Fax Number: | 5174853558 |
| Mailing Address: | 3990 John R St, 4 Brush Center DETROIT |
| State: | MI |
| Postal Code: | 48201 |
| Phone Number: | 8502926457 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 4301092834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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. |