IndividualActive
Adel Ghacham, MD
NPI 1205454246 · Family Medicine Physician · East Lansing, MI
Provider details
- NPI number
- 1205454246
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301509398 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
804 Service Rd Ste A225
East Lansing, MI 48824-7015
Phone: (517) 353-2562
Fax: (517) 353-2563
Approximate (ZIP-level) locationGet directions
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.