Healthcare Provider Details

I. General information

NPI: 1871015560
Provider Name (Legal Business Name): FIRDHOUS ALIMATHUNISA ABDUL KATHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 SIXTH ST STE 208
TRAVERSE CITY MI
49684-2360
US

IV. Provider business mailing address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2345
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-2045
  • Fax: 231-935-3420
Mailing address:
  • Phone: 231-935-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301501855
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: