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

Mona Kassem

Individual provider Cardiovascular Disease Physician · NPI 1063360683

Mona Kassem is a Physician Assistant in Dearborn, Michigan. Qualified in 2020, 6 years ago. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2026

Practice location Address checks out

15355 Prospect St
Dearborn, MI 48126-2955
Phone: (313) 231-5281
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 5601013636 (MI)

Record details

NPI number1063360683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2026
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address15355 Prospect St, Dearborn, MI 48126-2955

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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