Active NPI
Mohanad Suede MD PC
- Gastroenterology Physician
- Pontiac, MI
National Provider Identifier
1790435840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- MOHANAD SUEDE MD PC
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (708) 586-2080
- NPI assigned
- Mar 23, 2022
- 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
- Mohanad Suede, MD
- Title
- Owner
- Phone
- (313) 779-0406
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
6088 Glen Eagles Dr
West Bloomfield, MI 48323-2212
National Provider Directory
National Provider DirectoryLocations
10 W Square Lake Rd
Ste 200
Bloomfld Hls, MI 48302
Phone (248) 322-1543
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1699331215
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1609445147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1790435840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6088 GLEN EAGLES DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "708-586-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHANAD SUEDE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "SUEDE",
"authorized_official_first_name": "MOHANAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-779-0406",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.