Provider Demographics
NPI:1407594245
Name:SUMMIT HEALTH POINTE LLC
Entity Type:Organization
Organization Name:SUMMIT HEALTH POINTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJAHMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-818-7965
Mailing Address - Street 1:21840 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-4422
Mailing Address - Country:US
Mailing Address - Phone:313-818-7965
Mailing Address - Fax:
Practice Address - Street 1:21840 23 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-4422
Practice Address - Country:US
Practice Address - Phone:586-213-1492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1679815112Medicaid