Healthcare Provider Details

I. General information

NPI: 1366375230
Provider Name (Legal Business Name): SARRAH A ALZANDANI I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 SCHAEFER RD
DEARBORN MI
48126-1974
US

IV. Provider business mailing address

6251 KENILWORTH ST
DEARBORN MI
48126-2156
US

V. Phone/Fax

Practice location:
  • Phone: 313-266-2737
  • Fax:
Mailing address:
  • Phone: 313-266-2737
  • Fax: 313-266-2737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: