Healthcare Provider Details

I. General information

NPI: 1427770338
Provider Name (Legal Business Name): QASIM OMRAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35700 WARREN RD STE 137
WESTLAND MI
48185-3808
US

IV. Provider business mailing address

35700 WARREN RD STE 137
WESTLAND MI
48185-3808
US

V. Phone/Fax

Practice location:
  • Phone: 734-742-5153
  • Fax:
Mailing address:
  • Phone: 734-742-5153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: QASIM OMRAN
Title or Position: BILLING
Credential:
Phone: 313-808-0602