Individual ProviderSamar MumtazInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2033 Crooks Rd, Royal Oak, MI 48073-4049(248) 543-2000PECOS EnrollmentBased on the most recent information from CMS, provider Samar Mumtaz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1346403243Provider TypeIndividualFull NameMumtaz, SamarCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/10/2008Last Updated2/11/2022Contact InformationPractice LocationPractice Address2033 Crooks Rd, Royal Oak, MI 48073-4049Phone(248) 543-2000FaxUnlisted FaxMailing LocationMailing Address30000 Northwestern Hwy, Farmington Hills, MI 48334-3227PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301091757Michigan