Healthcare Provider Details
I. General information
NPI: 1255987319
Provider Name (Legal Business Name): STERLING PEDIATRIC CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3850 METRO PKWY
STERLING HTS MI
48310-3709
US
IV. Provider business mailing address
3850 METRO PKWY
STERLING HTS MI
48310-3709
US
V. Phone/Fax
- Phone: 586-939-2229
- Fax: 586-939-2227
- Phone: 586-939-2229
- Fax: 586-939-2227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
INDER
JIT
SAINI
Title or Position: OWNER
Credential: MD
Phone: 586-939-2229