Provider Demographics
| NPI: | 1982951802 |
|---|---|
| Name: | CONTINUM HEALTHCARE SERVISES,MD |
| Entity type: | Organization |
| Organization Name: | CONTINUM HEALTHCARE SERVISES,MD |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CHADI |
| Authorized Official - Middle Name: | YOUSSEF |
| Authorized Official - Last Name: | SAAD |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 313-608-8068 |
| Mailing Address - Street 1: | 1645 N MILDRED ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DEARBORN |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48128-1215 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 313-608-8068 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1645 N MILDRED ST |
| Practice Address - Street 2: | |
| Practice Address - City: | DEARBORN |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48128-1215 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 313-608-8068 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-08-09 |
| Last Update Date: | 2012-08-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MI | 4301091025 | 207R00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |