Provider Demographics
NPI:1023423050
Name:METRO RHEUMATOLOGY, PLLC
Entity type:Organization
Organization Name:METRO RHEUMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-595-4864
Mailing Address - Street 1:49182 WOODSON WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-6683
Mailing Address - Country:US
Mailing Address - Phone:313-595-4864
Mailing Address - Fax:
Practice Address - Street 1:1633 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5435
Practice Address - Country:US
Practice Address - Phone:734-259-8733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-28
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI111755980OtherC.A.Q.H
MI1023202553OtherINDIVIDUAL NPI
MO4301 079830OtherLICENCE
MI261022OtherINTERNAL MED BOARD 12/2007
MI5315 019487OtherST DEA NUMBER