Healthcare Provider Details

I. General information

NPI: 1942410667
Provider Name (Legal Business Name): ABDULMALEK SADAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43000 W 9 MILE RD STE 207
NOVI MI
48375-4132
US

IV. Provider business mailing address

3900 SUNFOREST CT STE 229
TOLEDO OH
43623-4440
US

V. Phone/Fax

Practice location:
  • Phone: 888-366-3907
  • Fax:
Mailing address:
  • Phone: 419-365-2503
  • Fax: 419-365-2508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.125820
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301119245
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: