MEDICARE: SAHAR A ALSUMIRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704350853	MI

General Provider Information

NPI Number	:	1134937394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAHAR A ALSUMIRI

Provider Business Mailing Address
First Line	:	1360 ABERDEEN ST
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-3404
Country	:	US
Telephone Number	:	313-247-5739
Fax Number	:

Provider Business Practice Location Address
First Line	:	8188 N TELEGRAPH RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1433
Country	:	US
Telephone Number	:	313-415-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	10/12/2025

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Directions to “ SAHAR A ALSUMIRI ” Practice Location

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