Reda Ammar
Individual provider Active NPI Contractor · Dearborn, MI
NPI 1013047273 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013047273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 10645 W Warren Ave Ste 251
Dearborn, MI 48126-1540 - Phone
- (313) 582-0004
- Fax
- (313) 582-0145
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
10645 W Warren Ave Ste 251
Dearborn, MI 48126-1540
Mailing address
10645 W Warren Ave Ste 251
Dearborn, MI 48126-1540
Phone (313) 582-0004
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.