Healthcare Provider Details

I. General information

NPI: 1447954813
Provider Name (Legal Business Name): QASIM MOHAMMED ALAMERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: QASIM AL AMERI

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22250 PROVIDENCE DR
SOUTHFIELD MI
48075-4825
US

IV. Provider business mailing address

3601 W 13 MILE RD
ROYAL OAK MI
48073-6712
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-3281
  • Fax: 248-849-5449
Mailing address:
  • Phone: 248-898-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301516514
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1432514002
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: