Healthcare Provider Details

I. General information

NPI: 1699766477
Provider Name (Legal Business Name): INDER J SAINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 METRO PKWY
STERLING HEIGHTS MI
48310-3709
US

IV. Provider business mailing address

3850 METRO PKWY
STERLING HEIGHTS MI
48310-3709
US

V. Phone/Fax

Practice location:
  • Phone: 586-939-2229
  • Fax: 586-939-2227
Mailing address:
  • Phone: 586-939-2229
  • Fax: 586-939-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301031909
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: