Healthcare Provider Details

I. General information

NPI: 1942132741
Provider Name (Legal Business Name): SARA EL SHWIHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 N TELEGRAPH RD # 48162
MONROE MI
48162-8947
US

IV. Provider business mailing address

5520 COVINGTON CT APT 210
DEARBORN MI
48126-2665
US

V. Phone/Fax

Practice location:
  • Phone: 734-243-1200
  • Fax:
Mailing address:
  • Phone: 965-918-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: