Provider Demographics
NPI:1629015664
Name:ZAROUK, SAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMI
Middle Name:
Last Name:ZAROUK
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 1:27901 WOODWARD AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-0919
Mailing Address - Country:US
Mailing Address - Phone:248-414-5377
Mailing Address - Fax:248-541-0542
Practice Address - Street 1:27901 WOODWARD AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0919
Practice Address - Country:US
Practice Address - Phone:248-414-5377
Practice Address - Fax:248-541-0542
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060426174400000X
MI4301030426207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4316800Medicaid
MIF94436Medicare UPIN