Provider Demographics
NPI:1912560525
Name:CHOUDHRY, SAIM SATTAR (DO)
Entity Type:Individual
Prefix:DR
First Name:SAIM
Middle Name:SATTAR
Last Name:CHOUDHRY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18600 VAN HORN RD STE A
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3853
Mailing Address - Country:US
Mailing Address - Phone:734-766-4446
Mailing Address - Fax:734-982-3003
Practice Address - Street 1:18600 VAN HORN RD STE A
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3853
Practice Address - Country:US
Practice Address - Phone:734-766-4446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101026574207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty