Healthcare Provider Details

I. General information

NPI: 1689582264
Provider Name (Legal Business Name): ROBINA HISHMEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBINA ZEIDAN

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10276 BELLEVILLE RD
VAN BUREN TOWNSHIP MI
48111-1698
US

IV. Provider business mailing address

8177 GARY AVE
WESTLAND MI
48185-7083
US

V. Phone/Fax

Practice location:
  • Phone: 734-697-4374
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04492200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419013
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: