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DR. EIAD KSEIBI M.D. NPI 1356363311


NPI Information

NPI: 1356363311
Provider Name: DR. EIAD KSEIBI, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
7633 E JEFFERSON AVE
SUITE 360
DETROIT, MI
ZIP 48214
Phone: (313) 499-4985
Get Directions

DR. Eiad Kseibi, M.D. is a critical care medicine internal medicine in Detroit, MI. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Eiad Kseibi, M.D. NPI is 1356363311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7633 E JEFFERSON AVE
SUITE 360
DETROIT, MI
ZIP 48214-730
Phone: (313) 499-4985
Fax: (313) 499-4955

The NPI 1356363311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 5/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease4301077122MICHIGANNo
2207RS0012XInternal MedicineSleep Medicine4301077122MICHIGANNo
3207RC0200XInternal MedicineCritical Care Medicine4301077122MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700E012740OTHERMICHIGANBCBS GROUP NUMBER
2P22200005MEDICARE PINMICHIGAN
30P22200MEDICARE PINMICHIGAN
41356363311MEDICAIDMICHIGAN
511-0502282-2OTHERMICHIGANBCBS PIN NUMBER
60N40170MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.