Provider Demographics
NPI:1184146581
Name:SAGINAW VALLEY MEDICAL CENTER PLLC
Entity type:Organization
Organization Name:SAGINAW VALLEY MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AIJAZ
Authorized Official - Last Name:SAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-439-9111
Mailing Address - Street 1:3170 HALLMARK CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2107
Mailing Address - Country:US
Mailing Address - Phone:989-439-9111
Mailing Address - Fax:989-401-3611
Practice Address - Street 1:3170 HALLMARK CT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2107
Practice Address - Country:US
Practice Address - Phone:989-439-9111
Practice Address - Fax:989-401-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty