Provider Demographics
NPI:1467256743
Name:KASSIS, AL RABEE (MD)
Entity type:Individual
Prefix:
First Name:AL RABEE
Middle Name:
Last Name:KASSIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RABEE
Other - Middle Name:
Other - Last Name:KASSIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:604 E CENTER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4741
Mailing Address - Country:US
Mailing Address - Phone:312-614-9532
Mailing Address - Fax:
Practice Address - Street 1:22201 MOROSS RD STE 50
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2166
Practice Address - Country:US
Practice Address - Phone:313-343-7774
Practice Address - Fax:313-343-8747
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program