Individual provider · NPI-1

Amer Georges Aboukasm, MD

Psychiatry & Neurology, Neurology · Detroit, MI

NPI number1194754085
StatusActive
Last updated in NPPESMay 13, 2020

Details

NPI
1194754085
Entity type
Individual (NPI-1)
Name
Amer Georges Aboukasm
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2006
Certification date
May 13, 2020
Last updated
May 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology4301051773MIYes
207RS0012X Internal Medicine, Sleep Medicine4301051773MI

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 800-653-6568

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 800-653-6568

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