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NPI Code Detail

MEDICARE: TANIA SADIQ PAYDAWY PHARM.D.

MEDICARE: TANIA SADIQ PAYDAWY PHARM.D.
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
1183500000XPharmacist5302039112MI

General Provider Information

NPI Number : 1740534015
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA SADIQ PAYDAWY PHARM.D.
Provider Business Mailing Address
First Line : 5328 ASPEN DR
Second Line :
City : LANSING
State : MI
Zip : 48917-4035
Country : US
Telephone Number : 517-285-5301
Fax Number :
Provider Business Practice Location Address
First Line : 1815 ROCHESTER RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-4136
Country : US
Telephone Number : 248-546-6572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2012
Last Update Date : 11/07/2012

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