Healthcare Provider Details

I. General information

NPI: 1609857598
Provider Name (Legal Business Name): GEOFFREY M SAHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S ROCHESTER RD SUITE 1300
ROCHESTER HILLS MI
48307-5160
US

IV. Provider business mailing address

3950 S ROCHESTER RD SUITE 1300
ROCHESTER HILLS MI
48307-5160
US

V. Phone/Fax

Practice location:
  • Phone: 248-299-0000
  • Fax: 248-299-6885
Mailing address:
  • Phone: 248-299-0000
  • Fax: 248-299-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301063481
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME172460
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: