Provider Demographics
NPI:1609611433
Name:ELROUMI, ZEINA SOBHI
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:SOBHI
Last Name:ELROUMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2842
Mailing Address - Country:US
Mailing Address - Phone:313-983-9505
Mailing Address - Fax:
Practice Address - Street 1:1201 S STATE ST
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2747
Practice Address - Country:US
Practice Address - Phone:231-591-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE465978009121390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program