Healthcare Provider Details

I. General information

NPI: 1508460080
Provider Name (Legal Business Name): FIRUZ YUMUL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE STE 415
LANSING MI
48912-1897
US

IV. Provider business mailing address

1200 E MICHIGAN AVE STE 415
LANSING MI
48912-1897
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5527
  • Fax:
Mailing address:
  • Phone: 517-364-5527
  • Fax: 517-364-5526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number4301510762
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: