Healthcare Provider Details
I. General information
NPI: 1922993849
Provider Name (Legal Business Name): SELECTCARE SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15400 N COMMERCE DR
DEARBORN MI
48120-1221
US
IV. Provider business mailing address
15400 N COMMERCE DR
DEARBORN MI
48120-1221
US
V. Phone/Fax
- Phone: 313-960-6605
- Fax: 734-753-9151
- Phone: 313-960-6605
- Fax: 734-753-9151
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHADI
SAAD
Title or Position: PRESIDENT
Credential: MD
Phone: 313-608-8068