Provider Demographics
NPI:1457619728
Name:KASMIKHA, NENA SABRI (MD)
Entity type:Individual
Prefix:
First Name:NENA
Middle Name:SABRI
Last Name:KASMIKHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NENA
Other - Middle Name:
Other - Last Name:AURAHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5775 WEST MAPLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-626-5315
Mailing Address - Fax:248-626-2248
Practice Address - Street 1:5775 WEST MAPLE ROAD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-626-5315
Practice Address - Fax:248-626-2248
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301100944207K00000X
MI1301100944207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology