DR. SUHAEL MOMIN (NPI# 1861783581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861783581 |
| Entity Type | Individual |
| Full Name | DR. SUHAEL MOMIN |
| Credential | MD |
| Practice Address |
2799 W Grand Blvd # K-8 Detroit MI 48202-2608 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 3139163272 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301112691 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 294258908 | 8437921414 |
| Street Address |
2799 W GRAND BLVD # K-8 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306985791 | Annette Marie Loduca-duhaime | Dietitian, Registered | 2799 W Grand Blvd # K-8, E-802, Detroit, MI 48202-2608 | 2007-02-05 |
| 1902335953 | Erica Ehlers Bennett | Audiologist | 2799 W Grand Blvd # K-8, Detroit, MI 48202-2608 | 2017-06-05 |
| 1831551472 | Joshua Allen Deuel | Oral & Maxillofacial Surgery | 2799 W Grand Blvd # K-8, Detroit, MI 48202-2608 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| 1013223239 | Samba Siva Reddy Bathula | Otolaryngology | 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201-2017 | 2010-08-25 |
| 1801109277 | Syed Naweed Raza | Otolaryngology | 4100 John R Wertz Clinic, Karmanos Cancer Center, Detroit, MI 48201-2013 | 2010-07-14 |
| 1396783460 | George H Yoo | Otolaryngology | 4100 John R Wertz Clinc, Detroit, MI 48201-2013 | 2006-06-02 |
| 1225088339 | Salvatore Cavaliere | Otolaryngology | 6071 W Outer Drive 7/east, Select Speciality Hospital, Detroit, MI 48235-2624 | 2006-05-11 |
| 1215463823 | Samantha Tam | Otolaryngology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-05-03 |
| 1730621723 | Michigan Sinus and Skull Institute Pllc | Otolaryngology | 4100 John R St, Wertz Cancer Clinic, Detroit, MI 48201-2013 | 2016-11-08 |
| 1750778890 | Catherine Mae Kelso Geller | Otolaryngology | 4201 Saint Antoine St, 5e-uhc, Detroit, MI 48201-2153 | 2015-04-15 |
| 1679968390 | Zaahir Turfe | Otolaryngology | 2799 W Grand Blvd, Henry Ford Hospital Graduate Medical Education, Cfp-046, Detroit, MI 48202-2608 | 2015-03-31 |
| 1386033272 | Madana Jeevanandam | Otolaryngology | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2015-01-14 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.