Individual
DR. AMMAR SUKARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 JOHN R, KARMANOS CANCER CENTER, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(800) 527-6266
(313) 576-8767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078637
MI
207RX0202X
Medical Oncology Physician
Primary
4301078637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013960384
—
MI
01
—
11-0950041-2
BCBS PIN #
MI
05
—
5209663
—
MI
05
—
5214879
—
MI
05
—
5223420
—
MI
Enumeration date
05/18/2006
Last updated
09/27/2016
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