Healthcare Provider Details

I. General information

NPI: 1730390832
Provider Name (Legal Business Name): HASSAN ALI SAGHIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10809 MACK AVE
DETROIT MI
48214-2119
US

IV. Provider business mailing address

6833 CALHOUN ST
DEARBORN MI
48126-1808
US

V. Phone/Fax

Practice location:
  • Phone: 313-824-1000
  • Fax:
Mailing address:
  • Phone: 313-310-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301088407
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301088407
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: