Provider Demographics
NPI:1720079700
Name:SUMER, NILUFER K (MD)
Entity Type:Individual
Prefix:DR
First Name:NILUFER
Middle Name:K
Last Name:SUMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:1314 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3456
Practice Address - Country:US
Practice Address - Phone:810-342-1700
Practice Address - Fax:810-720-4057
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1003037OtherHEALTH ADVANTAGE NETWORK
MI110138137OtherMETRAHEALTH
MI110B510530OtherBLUE CROSS BLUE SHIELD
MI4382477Medicaid
MI110B561250OtherBLUE CROSS BLUE SHIELD
MI5223488OtherAETNA
MI1003037OtherMCLAREN HEALTH PLAN
MI1061112OtherHEALTH PLUS
MIC5895OtherMCARE
MIG14681OtherHEALTH NET FEDERAL SERV
MI1102502060OtherBLUE CROSS BLUE SHIELD
MI110B510530OtherBLUE CHOICE POS
MA110B510530OtherCOMMUNITY BLUE
MI110B510530OtherBLUE CARE NETWORK
MIG14681OtherHEALTH ALLIANCE PLAN
MIG14681OtherHEALTH NET FEDERAL SERV
MI1102502060OtherBLUE CROSS BLUE SHIELD
MI110B510530OtherBLUE CARE NETWORK
MI0B56125032Medicare ID - Type Unspecified
MI0B56125Medicare ID - Type Unspecified