Provider Demographics
NPI:1609857598
Name:SAHAM, GEOFFREY M (MD)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:M
Last Name:SAHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 S ROCHESTER RD
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5160
Mailing Address - Country:US
Mailing Address - Phone:248-299-0000
Mailing Address - Fax:248-299-6885
Practice Address - Street 1:3950 S ROCHESTER RD
Practice Address - Street 2:SUITE 1300
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5160
Practice Address - Country:US
Practice Address - Phone:248-299-0000
Practice Address - Fax:248-299-6885
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301063481207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G53845Medicare UPIN
ON37420Medicare ID - Type Unspecified