MEDICARE: CANTON HEALTH ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician		MI

General Provider Information

NPI Number	:	1598856817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTON HEALTH ASSOCIATES

Provider Business Mailing Address
First Line	:	1600 S CANTON CENTER RD
Second Line	:	SUITE 200
City	:	CANTON
State	:	MI
Zip	:	48188-1992
Country	:	US
Telephone Number	:	734-398-8675
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 S CANTON CENTER RD
Second Line	:	SUITE 200
City	:	CANTON
State	:	MI
Zip	:	48188-1992
Country	:	US
Telephone Number	:	734-398-8675
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SUZANNE ABOU-ELKHAIR
Credential	:	MBA
Telephone Number	:	734-398-8672

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1285607184 — BHAVANI SUNDRAM WHIPPS MD
Practice Location Address:

1600 S CANTON CENTER RD , STE 1200
CANTON, MI
48188-1992

Practice Phone: 734-398-7880
Practice Fax: 734-761-7318

1013983899 — CHRISTINE GAY BRENNER MD
Practice Location Address:

1600 S CANTON CENTER RD , STE 200
CANTON, MI
48188-1992

Practice Phone: 734-713-4000
Practice Fax: 734-713-4001

1629044037 — DR. EMILY T WANG MD
Practice Location Address:

1600 S CANTON CENTER RD , SUITE 360
CANTON, MI
48188-1992

Practice Phone: 734-394-2661
Practice Fax: 734-394-2666

1801858733 — AYESHA M TAJ D.O.
Practice Location Address:

1600 S CANTON CENTER RD , SUITE 200
CANTON, MI
48188-1992

Practice Phone: 734-398-8675
Practice Fax: 734-398-8670

1730218967 — DR. TRACEY LYNNE VENNING M.D.
Practice Location Address:

1600 S CANTON CENTER RD
CANTON, MI
48188-1992

Practice Phone: 734-844-8743
Practice Fax: 734-844-8744

Directions to “CANTON HEALTH ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.