Provider Demographics
NPI:1912697145
Name:ROMAYA, SUHA
Entity type:Individual
Prefix:
First Name:SUHA
Middle Name:
Last Name:ROMAYA
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 1:42780 SHORTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-2827
Mailing Address - Country:US
Mailing Address - Phone:586-907-7920
Mailing Address - Fax:
Practice Address - Street 1:42780 SHORTRIDGE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-2827
Practice Address - Country:US
Practice Address - Phone:586-907-7936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide