Healthcare Provider Details

I. General information

NPI: 1902720584
Provider Name (Legal Business Name): MRS. PRISCILA SACCHETTO BURJATO SAKAGUTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2988 HARTWICK DR
ROCHESTER HILLS MI
48307-4343
US

IV. Provider business mailing address

2988 HARTWICK DR
ROCHESTER HILLS MI
48307-4343
US

V. Phone/Fax

Practice location:
  • Phone: 248-270-6842
  • Fax:
Mailing address:
  • Phone: 248-270-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: