Provider Demographics
NPI:1386804151
Name:LOUIS, SUDAD L (MD)
Entity type:Individual
Prefix:
First Name:SUDAD
Middle Name:L
Last Name:LOUIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SUDAD
Other - Middle Name:LOUIS
Other - Last Name:NAEEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:31500 DEQUINDRE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-1057
Mailing Address - Country:US
Mailing Address - Phone:586-268-5440
Mailing Address - Fax:
Practice Address - Street 1:39150 DEQUINDRE RD STE 200
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-6983
Practice Address - Country:US
Practice Address - Phone:586-268-5440
Practice Address - Fax:586-268-5441
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010922922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology