DR. AMANAH SANA FATIMA DO
NPI 1174265755
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Amanah Fatima's NPI number?

The NPI number for Amanah Fatima is 1174265755. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Amanah Fatima's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amanah Fatima was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2022PECOS Enrolled

4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Amanah Sana Fatima Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANAH SANA FATIMA DO (NPI 1174265755) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174265755

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. AMANAH SANA FATIMACredential: DO

Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St Ste 6aDetroit, MI 48201-2153 · (313) 745-4627

Phone(313) 745-4627

Sole ProprietorYes

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1174265755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanah Sana Fatima Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DETROIT MEDICAL CENTER

Physician Assistant (Surgical)

4201 SAINT ANTOINE ST STE 6A, DRH UNIVERSITY HEALTH CENTER
DETROIT, MI 48201

Wayne County (313) 745-4230

SHAHEENA RAHEEM

Internal Medicine