Active NPI
Wessam Daoud
- Student in an Organized Health Care Education/Training Program
- West Bloomfield, MI
National Provider Identifier
1578429379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2025041931
- Practice address
- 5877 Tabor Dr
West Bloomfield, MI 48322-1819 - Phone
- (702) 885-2907
- NPI assigned
- Dec 25, 2025
- Last updated
- Dec 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2025041931 | MO | Primary |
Addresses
Primary practice location
5877 Tabor Dr
West Bloomfield, MI 48322-1819
Mailing address
5877 Tabor Dr
West Bloomfield, MI 48322-1819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025041931 | MO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766620800000",
"number": "1578429379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5877 TABOR DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5877 TABOR DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221819",
"telephone_number": "702-885-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAOUD",
"first_name": "WESSAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-25",
"last_updated": "2025-12-25",
"certification_date": "2025-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2025041931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.