Healthcare Provider Details

I. General information

NPI: 1285337576
Provider Name (Legal Business Name): ADNAN ALI RAMMOUNI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 LIVINGSTON ST STE 1
BAY CITY MI
48708-6392
US

IV. Provider business mailing address

2213 CHERRY ST STE 200
TOLEDO OH
43608-2603
US

V. Phone/Fax

Practice location:
  • Phone: 989-895-8594
  • Fax: 989-895-8748
Mailing address:
  • Phone: 419-251-4283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5901400594
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: