Provider Demographics
NPI:1548068604
Name:SEOUD, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SEOUD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36101 CONGRESS RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1231
Mailing Address - Country:US
Mailing Address - Phone:248-705-5393
Mailing Address - Fax:
Practice Address - Street 1:36101 CONGRESS RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1231
Practice Address - Country:US
Practice Address - Phone:248-705-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide