Ateyah, Ghassan

Ateyah, Ghassan is an individual health care provider with primary practice located at 3058 Metropolitan Pkwy Ste 206 , Sterling Heights MI 48310-3680. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Ateyah, Ghassan can be contacted via phone (586) 303-6195.

Contact Information

Primary practice address
3058 Metropolitan Pkwy Ste 206 Sterling Heights MI 48310-3680
Phone: (586) 303-6195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5901002654 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002654 Michigan

Profile Details

NPI number 1457703597
LBN Legal business name Ateyah, Ghassan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Apr 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457703597 NPPES
Michigan MEDICAID 23-0264

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