Provider Demographics
NPI:1316370323
Name:ISHAQ, ARAK
Entity Type:Individual
Prefix:MR
First Name:ARAK
Middle Name:
Last Name:ISHAQ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42371 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3151
Mailing Address - Country:US
Mailing Address - Phone:586-277-5454
Mailing Address - Fax:
Practice Address - Street 1:42371 MOUND RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3151
Practice Address - Country:US
Practice Address - Phone:586-277-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372500000XNursing Service Related ProvidersChore Provider
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion