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NPI Code Detail

MEDICARE: DR. DALIA SARAH NESIMOV MD

MEDICARE:  DR. DALIA SARAH NESIMOV  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831030550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALIA SARAH NESIMOV MD
Provider Business Mailing Address
First Line : 25517 BRIAR DR APT 8
Second Line :
City : OAK PARK
State : MI
Zip : 48237-1376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 BEAUBIEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2119
Country : US
Telephone Number : 313-966-0225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ DR. DALIA SARAH NESIMOV MD” Practice Location

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