Provider Demographics
NPI:1447838396
Name:RUHBAN, INAS A (MD)
Entity type:Individual
Prefix:DR
First Name:INAS
Middle Name:A
Last Name:RUHBAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 E LONG LAKE RD # A
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-9996
Mailing Address - Country:US
Mailing Address - Phone:248-533-0000
Mailing Address - Fax:
Practice Address - Street 1:71 E LONG LAKE RD # A
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-9996
Practice Address - Country:US
Practice Address - Phone:248-533-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301511236208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics