Healthcare Provider Details

I. General information

NPI: 1831069053
Provider Name (Legal Business Name): FLOURISH AND BLOOM WITH DR.BAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7527 OAK BAY DR
WHITE LAKE MI
48383-2972
US

IV. Provider business mailing address

7527 OAK BAY DR
WHITE LAKE MI
48383-2972
US

V. Phone/Fax

Practice location:
  • Phone: 313-403-2724
  • Fax:
Mailing address:
  • Phone: 313-403-2724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: BAN AL-KARAGHOULI
Title or Position: DOCTOR
Credential: MD
Phone: 315-560-2084