Provider Demographics
NPI:1518463744
Name:HADI, AYA SAAD (BS)
Entity Type:Individual
Prefix:
First Name:AYA
Middle Name:SAAD
Last Name:HADI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6451 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2212
Mailing Address - Country:US
Mailing Address - Phone:313-945-8138
Mailing Address - Fax:313-624-9418
Practice Address - Street 1:6451 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2212
Practice Address - Country:US
Practice Address - Phone:313-945-8138
Practice Address - Fax:313-624-9418
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2021-05-24
Deactivation Date:2021-01-04
Deactivation Code:
Reactivation Date:2021-05-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator