Healthcare Provider Details

I. General information

NPI: 1730092974
Provider Name (Legal Business Name): SUMAIR HABIB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W MAIN ST
BRIGHTON MI
48116-1591
US

IV. Provider business mailing address

324 W MAIN ST
BRIGHTON MI
48116-1591
US

V. Phone/Fax

Practice location:
  • Phone: 313-339-0953
  • Fax:
Mailing address:
  • Phone: 313-339-0953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: