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NPI Verification

National Provider Identifier: 1215321401

Souad Al-Bacha, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Internal Medicine

Code: 207R00000X

Practice Address

TRINITY HEALTH IHA MEDICAL GROUP ENDOCRINOLOGY-ARBOR

PARK 4990 WEST CLARK ROAD SUITE 300

YPSILANTI, MI 48197

Phone: 734-884-5196

NPI Enumeration Date

March 25, 2015

NPI Number

1215321401

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry