NPI Code Details Logo

NPI 1508728262

NPI 1508728262 : SUMPTER MEDICAL GROUP PLLC : BELLEVILLE, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508728262
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SUMPTER MEDICAL GROUP PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/01/2025
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19130 SUMPTER RD STE 100 
-----------------------------------------------------
    City                 |    BELLEVILLE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48111-8724
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-325-2179
-----------------------------------------------------
    Fax                  |    734-325-2181
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    19130 SUMPTER RD STE 100 
-----------------------------------------------------
    City                 |    BELLEVILLE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48111-8724
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-325-2179
-----------------------------------------------------
    Fax                  |    734-325-2181
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING DIRECTOR
-----------------------------------------------------
    Name                 |    DR. ALI MOHAMAD RAMMAL 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    313-213-5533
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.