Healthcare Provider Details

I. General information

NPI: 1770818353
Provider Name (Legal Business Name): ZAINUDDIN CHILDREN'S CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2486 NERREDIA ST SUITE E
FLINT MI
48532-4807
US

IV. Provider business mailing address

2486 NERREDIA ST SUITE E
FLINT MI
48532-4807
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-8830
  • Fax: 810-230-9916
Mailing address:
  • Phone: 810-733-8830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301069960
License Number StateMI

VIII. Authorized Official

Name: DR. SANIA ZAINUDDIN
Title or Position: OWNER
Credential: MD
Phone: 810-733-8830