Healthcare Provider Details

I. General information

NPI: 1336735729
Provider Name (Legal Business Name): ALAA AL-ASADI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 02/08/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 15 MILE RD STE 2
STERLING HEIGHTS MI
48312-5100
US

IV. Provider business mailing address

11600 15 MILE RD STE 2
STERLING HEIGHTS MI
48312-5100
US

V. Phone/Fax

Practice location:
  • Phone: 586-328-0253
  • Fax: 586-328-0254
Mailing address:
  • Phone: 586-328-0253
  • Fax: 586-328-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302412940
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: