Healthcare Provider Details

I. General information

NPI: 1043428626
Provider Name (Legal Business Name): SASE PERSAUD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 N MAIN ST
CLAWSON MI
48017-1525
US

IV. Provider business mailing address

2834 PHEASANT RING DR
ROCHESTER HILLS MI
48309-2857
US

V. Phone/Fax

Practice location:
  • Phone: 124-857-7060
  • Fax: 128-577-0601
Mailing address:
  • Phone: 124-857-7060
  • Fax: 248-577-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SASE PERSAUD
Title or Position: OWNER
Credential:
Phone: 248-577-0600