Provider Demographics
NPI:1790139251
Name:SAHAKIAN, RITA (NP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SAHAKIAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:43184 DEQUINDRE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1709
Mailing Address - Country:US
Mailing Address - Phone:586-580-0280
Mailing Address - Fax:586-580-0281
Practice Address - Street 1:43184 DEQUINDRE RD STE 202
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1709
Practice Address - Country:US
Practice Address - Phone:586-580-0280
Practice Address - Fax:586-580-0281
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704279880363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner