Provider Demographics
NPI:1376920066
Name:REEM ALSABTI MD, PC
Entity Type:Organization
Organization Name:REEM ALSABTI MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REEM
Authorized Official - Middle Name:JURJIS
Authorized Official - Last Name:ALSABTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-808-6225
Mailing Address - Street 1:23350 GREENFIELD RD
Mailing Address - Street 2:STE 200
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2496
Mailing Address - Country:US
Mailing Address - Phone:248-808-6225
Mailing Address - Fax:248-291-6987
Practice Address - Street 1:23350 GREENFIELD RD
Practice Address - Street 2:STE 200
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2496
Practice Address - Country:US
Practice Address - Phone:248-808-6225
Practice Address - Fax:248-291-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty