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

Individual provider Family Medicine Physician · NPI 1972170652

Kassem Soufan, MD is a Family Practice in Canton, Michigan. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
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

2050 N Haggerty Rd
Canton, MI 48187-3795
Phone: (734) 446-9757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301511386 (MI)

Record details

NPI number1972170652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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