Kassem M Charara MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301060523 Issued in MI

Legal business name

KASSEM M CHARARA MD PC

Practice address

6211 Chase Rd
Dearborn, MI 48126-2405

Phone

(313) 581-1222

Fax

(313) 581-6657

NPI assigned

Mar 3, 2008

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kassem M Charara, MDNPI 1265412449

Title

President

Phone

(313) 581-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kassem M Charara, MD

  • Surgery Physician
  • Dearborn, MI
  • NPI 1265412449
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1437329703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262405",
            "telephone_number": "313-581-1222",
            "fax_number": "313-581-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262405",
            "telephone_number": "313-581-1222",
            "fax_number": "313-581-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSEM M CHARARA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHARARA",
        "authorized_official_first_name": "KASSEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-1222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301060523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0826564",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeinab Ali Karout
• Rannan Kased, D.O
• Amanda Kashou
• Abdulhamid Kassab, MD
• Elias Habib Kassab, M.D.
• Amal Kassem
• Batoul Kassem
• Hussein Kassem
• Kamal Mohamed-Ayed Kassem, MD
• Mona Kassem

• Specialist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.