Provider Demographics
NPI:1790106870
Name:KASSEM, ZEYAD
Entity Type:Individual
Prefix:MR
First Name:ZEYAD
Middle Name:
Last Name:KASSEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S COURT ST
Mailing Address - Street 2:SUITE 126
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2651
Mailing Address - Country:US
Mailing Address - Phone:662-843-6606
Mailing Address - Fax:662-843-1545
Practice Address - Street 1:103 S COURT ST
Practice Address - Street 2:SUITE 126
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2651
Practice Address - Country:US
Practice Address - Phone:662-843-6606
Practice Address - Fax:662-843-1545
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care