Provider Demographics
NPI:1205273315
Name:KASSAB, DINA (DO)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:KASSAB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3950 S ROCHESTER RD STE 1450
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5162
Mailing Address - Country:US
Mailing Address - Phone:248-378-0489
Mailing Address - Fax:586-582-7051
Practice Address - Street 1:3950 S ROCHESTER RD STE 1450
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5162
Practice Address - Country:US
Practice Address - Phone:248-378-0489
Practice Address - Fax:248-844-4551
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology