Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adel Ghacham, MD

Individual provider Family Medicine Physician · NPI 1205454246

Adel Ghacham, MD is a Family Practice in East Lansing, Michigan. Qualified in 2020, 6 years ago. Practices with Msu Health Care Inc, a 201-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

804 Service Rd Ste A225
East Lansing, MI 48824-7015
Phone: (517) 353-2562
Fax: (517) 353-2563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301509398 (MI)

Record details

NPI number1205454246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address804 Service Rd Ste A202, East Lansing, MI 48824-7015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Msu Health Care Inc. — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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