Active NPI
Zeia Casab Rueda MD
- Cardiovascular Disease Physician
- Detroit, MI
National Provider Identifier
1609142900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301033492
- Legal business name
- ZEIA CASAB RUEDA MD
- Practice address
- 5662 W Vernor Hwy
Detroit, MI 48209-2158 - Phone
- (313) 841-3310
- Fax
- (313) 841-6513
- NPI assigned
- Mar 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Armin Casab
- Title
- Office Manager
- Phone
- (313) 656-2150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301033492 | MI | Primary |
Addresses
Primary practice location
5662 W Vernor Hwy
Detroit, MI 48209-2158
Mailing address
1320 Wilkins St
Detroit, MI 48207-4802
Phone (313) 656-2150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2825728 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1609142900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WILKINS ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074802",
"telephone_number": "313-656-2150",
"fax_number": "313-656-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5662 W VERNOR HWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092158",
"telephone_number": "313-841-3310",
"fax_number": "313-841-6513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEIA CASAB RUEDA MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "CASAB",
"authorized_official_first_name": "ARMIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "313-656-2150",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301033492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2825728",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.