Individual provider · NPI-1

Mohamed Abou-Kassem, MD

Anesthesiology · Lansing, MI

NPI number1104357144
StatusActive
Last updated in NPPESJul 12, 2022

Details

NPI
1104357144
Entity type
Individual (NPI-1)
Name
Mohamed Abou-Kassem
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 22, 2017
Certification date
Apr 15, 2022
Last updated
Jul 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology4301505691MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Phone 517-364-1000

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811

Phone 517-364-1000

Other practice locations

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-4321

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