Healthcare Provider Details
I. General information
NPI: 1275278194
Provider Name (Legal Business Name): SABRI ZOOPER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/04/2022
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3370 E JEFFERSON AVE
DETROIT MI
48207-4236
US
IV. Provider business mailing address
1 FORD PL STE 3A
DETROIT MI
48202-3450
US
V. Phone/Fax
- Phone: 313-656-1600
- Fax: 313-656-1600
- Phone: 313-874-4806
- Fax: 313-876-1305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | V0246 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | 5101028588 |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 5101028588 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: