Provider Demographics
NPI:1477866390
Name:SAINI, VISHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:VISHAL
Middle Name:
Last Name:SAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4701 TOWNE CENTRE RD
Mailing Address - Street 2:STE 201
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2833
Mailing Address - Country:US
Mailing Address - Phone:616-523-1600
Mailing Address - Fax:616-523-1601
Practice Address - Street 1:4701 TOWNE CENTRE RD
Practice Address - Street 2:STE 201
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2833
Practice Address - Country:US
Practice Address - Phone:989-792-2792
Practice Address - Fax:989-792-1792
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301103337207Q00000X, 207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0340063OtherBCBS
MI1477866390Medicaid
MIC46007052Medicare PIN