Healthcare Provider Details

I. General information

NPI: 1588368153
Provider Name (Legal Business Name): SAIF MICHEL YOUSEF SROUJI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 E HERNDON AVE
FRESNO CA
93720-3306
US

IV. Provider business mailing address

7202 N MILLBROOK AVE STE 205
FRESNO CA
93720-3341
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-3000
  • Fax:
Mailing address:
  • Phone: 559-450-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberA204849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: