Healthcare Provider Details

I. General information

NPI: 1639928401
Provider Name (Legal Business Name): ADITYA SAHAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST # 9C
DETROIT MI
48201-2153
US

IV. Provider business mailing address

1321 ORLEANS ST APT 1303
DETROIT MI
48207-2948
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-6047
  • Fax:
Mailing address:
  • Phone: 206-724-4970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: