Provider Demographics
NPI:1114787785
Name:ALSUMAIT, ABDULAZIZ (MD)
Entity Type:Individual
Prefix:MR
First Name:ABDULAZIZ
Middle Name:
Last Name:ALSUMAIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E BYRD ST APT 6624
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4310
Mailing Address - Country:US
Mailing Address - Phone:267-582-9803
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD # B046
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2689
Practice Address - Country:US
Practice Address - Phone:313-916-1601
Practice Address - Fax:313-916-2018
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program