Provider Demographics
NPI:1851501613
Name:KAIS, SAMER HASSAN (MD, MS, BS)
Entity Type:Individual
Prefix:DR
First Name:SAMER
Middle Name:HASSAN
Last Name:KAIS
Suffix:
Gender:M
Credentials:MD, MS, BS
Other - Prefix:DR
Other - First Name:SAM
Other - Middle Name:H
Other - Last Name:KAIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1863
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:4100 CAMPUS RIDGE DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6139
Practice Address - Country:US
Practice Address - Phone:899-839-1795
Practice Address - Fax:989-839-1785
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086501208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery