Healthcare Provider Details

I. General information

NPI: 1447838396
Provider Name (Legal Business Name): INAS A RUHBAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44344 DEQUINDRE RD STE 510
STERLING HEIGHTS MI
48314-1042
US

IV. Provider business mailing address

71 E LONG LAKE RD # A
BLOOMFIELD HILLS MI
48304-9996
US

V. Phone/Fax

Practice location:
  • Phone: 586-323-6300
  • Fax:
Mailing address:
  • Phone: 248-533-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301511236
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: