Healthcare Provider Details

I. General information

NPI: 1669499547
Provider Name (Legal Business Name): SUNDUS FATHALLA RUMMANI-ASKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26440 HOOVER RD STE C
WARREN MI
48089-1190
US

IV. Provider business mailing address

26440 HOOVER RD STE C
WARREN MI
48089-1190
US

V. Phone/Fax

Practice location:
  • Phone: 586-427-1337
  • Fax: 586-427-1332
Mailing address:
  • Phone: 586-427-1351
  • Fax: 586-486-5669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301073962
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: