Provider Demographics
NPI:1790781383
Name:MORSI, EHAB RAGAR EID (MD)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:RAGAR EID
Last Name:MORSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14600 KING RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-7952
Mailing Address - Country:US
Mailing Address - Phone:734-479-7800
Mailing Address - Fax:734-479-7802
Practice Address - Street 1:14600 KING RD
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7952
Practice Address - Country:US
Practice Address - Phone:734-479-7800
Practice Address - Fax:734-479-7802
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301069991208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
05274212OtherECFMG
MI4301069991OtherCONTROLLED SUBSTANCE
BM6873156OtherFEDERAL DEA
05274212OtherECFMG