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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083103329

Raed Al Gharib, DPM is a Podiatry in Warren, Michigan. Qualified in 2018, 8 years ago. Practices with Charles G Kissel DPM PC, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

29433 Ryan Rd
Warren, MI 48092-2203
Phone: (586) 574-0500
Fax: (586) 574-2694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901400399 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083103329
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Charles G Kissel Dpm Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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