MEDICARE: SUMMAR FAHDA APRN

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	4704326130	MI

General Provider Information

NPI Number	:	1215699293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMAR FAHDA APRN

Provider Business Mailing Address
First Line	:	6512 KINGSBURY ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6512 KINGSBURY ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2119
Country	:	US
Telephone Number	:	913-314-1410
Fax Number	:

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

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	10/07/2021

Similar Medicare Providers

1174535751 — WESTERN WISCONSIN EAR, NOSE & THROAT CENTER, S.C.
Practice Location Address:

2119 HEIGHTS DR
EAU CLAIRE, WI
54701-6130

Practice Phone: 715-831-0289
Practice Fax: 715-831-4722

1740399971 — HOWARD KARFELD DDS INC
Practice Location Address:

52 LYMAN CIR
SHAKER HEIGHTS, OH
44122-2119

Practice Phone: 216-469-1395
Practice Fax: 216-464-0292

1568571636 — DR. HOWARD KARFELD D.D.S.
Practice Location Address:

52 LYMAN CIRCLE
SHAKER HEIGHTS, OH
44122-2119

Practice Phone: 216-469-1395
Practice Fax: 216-464-0292

1083834469 — MRS. DARLENE MARIE FLUELLEN
Practice Location Address:

2119 ROSSMOOR RD
CLEVELAND HEIGHTS, OH
44118-2516

Practice Phone: 216-321-1337
Practice Fax: 216-321-1337

1801047428 — ADRIANA RIOS
Practice Location Address:

175 MAIN AVE APT 103
WHEATLEY HEIGHTS, NY
11798-2119

Practice Phone: 631-603-5595
Practice Fax:

1417180084 — DR. ASHLEY J HAKES PSYD
Practice Location Address:

2119 HEIGHTS DR
EAU CLAIRE, WI
54701-6130

Practice Phone: 920-496-4700
Practice Fax:

Directions to “ SUMMAR FAHDA APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.