Provider Demographics
NPI:1861503781
Name:GORAYA, SAIMA TAUQUR (MD)
Entity Type:Individual
Prefix:
First Name:SAIMA
Middle Name:TAUQUR
Last Name:GORAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAIMA
Other - Middle Name:
Other - Last Name:IQBAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:207 FLETCHER
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-1050
Mailing Address - Country:US
Mailing Address - Phone:734-764-2080
Mailing Address - Fax:734-763-7505
Practice Address - Street 1:207 FLETCHER
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1050
Practice Address - Country:US
Practice Address - Phone:734-764-2080
Practice Address - Fax:734-763-7505
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301079282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1108138771OtherBCBS
MI13946OtherMCARE
MI13946OtherMCARE