MEDICARE: SARAH HAJ-DIAB DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5315267590	MI
2	207R00000X	Internal Medicine Physician	5151018186	MI

General Provider Information

NPI Number	:	1164354304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HAJ-DIAB DO

Provider Business Mailing Address
First Line	:	5450 FORT ST
Second Line	:
City	:	TRENTON
State	:	MI
Zip	:	48183-4601
Country	:	US
Telephone Number	:	734-671-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 FORT ST
Second Line	:
City	:	TRENTON
State	:	MI
Zip	:	48183-4601
Country	:	US
Telephone Number	:	734-671-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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