MEDICARE: SAADIA NOSHEEN M.B.B.S.

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	2084P0804X	Child & Adolescent Psychiatry Physician	4301098012	MI

General Provider Information

NPI Number	:	1992951693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAADIA NOSHEEN M.B.B.S.

Provider Business Mailing Address
First Line	:	4250 PLYMOUTH ROAD, SPC 5766, RACHEL UPJOHN BUILDING
Second Line	:	UNIVERSITY OF MICHIGAN, DEPARTMENT OF PSYCHIATRY
City	:	ANN ARBOR
State	:	MI
Zip	:	48109
Country	:	US
Telephone Number	:	734-764-0231
Fax Number	:	734-936-8907

Provider Business Practice Location Address
First Line	:	4250 PLYMOUTH RD SPC 5766
Second Line	:	UNIVERSITY OF MICHIGAN, DEPARTMENT OF PSYCHIATRY
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-2700
Country	:	US
Telephone Number	:	734-764-0231
Fax Number	:	734-936-8907

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

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	02/05/2013

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