Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samra Haque

Individual provider Physician Assistant · NPI 1588480479

Samra Haque is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

18463 Livernois Ave
Detroit, MI 48221-2254
Phone: (313) 369-1500
Fax: (248) 581-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013226 (MI)

Record details

NPI number1588480479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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