Healthcare Provider Details

I. General information

NPI: 1790088961
Provider Name (Legal Business Name): RIMA DARWISH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2010
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 BIDDLE AVE STE 100
WYANDOTTE MI
48192-4650
US

IV. Provider business mailing address

613 PLAINFIELD ST
DEARBORN HEIGHTS MI
48127-3623
US

V. Phone/Fax

Practice location:
  • Phone: 734-246-5705
  • Fax:
Mailing address:
  • Phone: 313-205-8220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601005816
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601005816
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: