Suha Kassab Dpm Pc
Podiatrist
10 W Square Lake Rd, Ste300, Bloomfield Hills
Michigan, 48302-0465
248-333-4900 248-333-4905
Suha Kassab Dpm Pc is a Podiatrist in Bloomfield Hills, Michigan. It is located at 10 W Square Lake Rd, Ste300, Bloomfield Hills and it's customer support contact number is 248-333-4900. The authorized person of Suha Kassab Dpm Pc is Dr. Suha Kassab, DPM who is President of this DME and his contact number is 248-333-4900. Active license number of Suha Kassab Dpm Pc is SK001415 for Podiatrist in Michigan. Suha Kassab Dpm Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Suha Kassab Dpm Pc is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Suha Kassab Dpm Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Suha Kassab Dpm Pc |
| Type: | Podiatrist |
| Location: | 10 W Square Lake Rd, Ste300, Bloomfield Hills,
Michigan, 48302-0465 |
| Phone: | 248-333-4900 |
| Fax: | 248-333-4905 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Suha Kassab |
| Credentials: | DPM |
| Position: | President |
| Contact Number: | 248-333-4900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1619149010 |
| NPI Enumeration Date: | 26 Mar, 2008 |
| NPI Last Update On: | 23 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Suha Kassab Dpm Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | SK001415 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| SK001415 | Other | Michigan | Bc Lincense |
| 2592751 | Medicaid | Michigan | |
Medicare Enrollment:
Suha Kassab Dpm Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476622598 | O20080515000373 | Suha Kassab Dpm Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3476622598 | O20100930086715 | Suha Kassab Dpm Pc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10 W Square Lake Rd, Ste 300
Bloomfield Hills, Michigan |
| Zip: | 48302-0465 |
| Phone Number: | 248-333-4900 |
| Fax Number: | 248-333-4905 |
Patients can reach Suha Kassab Dpm Pc at
10 W Square Lake Rd, Ste300, Bloomfield Hills, Michigan or can
call on customer care at 248-333-4900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.