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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMRA HAQUE

Active

SAMRA HAQUE is a Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1588480479 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1588480479
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2024 (1.7108470710851 yrs)
Last Updated
Sep 18, 2025
License
5601013226 (MI)

Practice Information

Address
18463 LIVERNOIS AVE
DETROIT, MI, 482212254
Browse MI providers · Browse ZIP 48221
Phone
3133691500
Fax
2485818839
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DETROIT, MI

Name Credential NPI
JENNY L GRUNWALD P.A.-C 1124013016
KAREN L BRONSON PA-C 1295722270
MRS. SUSAN LYNN SIEPIERSKI PA 1609857952
AMY DERECZYK PA-C 1558349050
JULIA SWITZER PA 1528046505
CAROLE VANDYKE P.A. 1114997228
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.