Sami Al-Harastani – Pediatrics Physician

Key facts

NPI: 1922495043
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 4301108027 (MI)
Practice address: 1083 Suncrest Dr Ste a
Lapeer, MI 48446
Phone: (810) 245-9700
NPI assigned: Apr 16, 2015
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Lapeer Pediatrics, P.C. Primary Care Clinic/Center · Lapeer, MI · NPI 1265623276

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
4301108027	MI	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Lapeer Pediatrics, P.C.		Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: salharastani1159486@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	4301108027	MI	Yes

Addresses

Primary practice location

1083 Suncrest Dr Ste a
Lapeer, MI 48446

Mailing address

1083 Suncrest Dr Ste a
Lapeer, MI 48446-4421

Other practice location 1

1 Hurley Plz
Flint, MI 48503-5902
Phone (810) 262-9000

Other providers in Lapeer, MI

All providers in Lapeer, MI · Pediatrics Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. 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.

Verify at the official NPI Registry.