Healthcare Provider Details

I. General information

NPI: 1154826360
Provider Name (Legal Business Name): DR. NADA NAIYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MICHIGAN ST NE STE 6330
GRAND RAPIDS MI
49503-2530
US

IV. Provider business mailing address

35 MICHIGAN ST NE STE 6330
GRAND RAPIDS MI
49503-2530
US

V. Phone/Fax

Practice location:
  • Phone: 616-377-4403
  • Fax:
Mailing address:
  • Phone: 616-377-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number4301506013
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number4301506013
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number4301506013
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: