Provider Demographics
NPI:1427120807
Name:ROUMAYAH-POPOVIC, P.C.
Entity type:Organization
Organization Name:ROUMAYAH-POPOVIC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-541-2222
Mailing Address - Street 1:225 S TROY ST STE 180
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2718
Mailing Address - Country:US
Mailing Address - Phone:248-541-2222
Mailing Address - Fax:248-541-7734
Practice Address - Street 1:225 S TROY ST STE 180
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2718
Practice Address - Country:US
Practice Address - Phone:248-541-2222
Practice Address - Fax:248-541-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center