Provider Demographics
NPI:1437829801
Name:RAMZI, LUHAIB THAER
Entity Type:Individual
Prefix:
First Name:LUHAIB
Middle Name:THAER
Last Name:RAMZI
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 1:43533 FIREBERRY DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-4522
Mailing Address - Country:US
Mailing Address - Phone:586-942-9257
Mailing Address - Fax:
Practice Address - Street 1:2480 LAPEER RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-1921
Practice Address - Country:US
Practice Address - Phone:248-373-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302413799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist