Provider Demographics
NPI:1336763937
Name:SUEDE, SAMAH HALBOUNI (MD)
Entity type:Individual
Prefix:
First Name:SAMAH
Middle Name:HALBOUNI
Last Name:SUEDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18001 E 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-3803
Mailing Address - Country:US
Mailing Address - Phone:586-218-5800
Mailing Address - Fax:586-218-5808
Practice Address - Street 1:18001 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-3803
Practice Address - Country:US
Practice Address - Phone:586-218-5800
Practice Address - Fax:586-218-5808
Is Sole Proprietor?:No
Enumeration Date:2020-05-31
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4351046716207R00000X
MI4301515015207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine