Provider Demographics
NPI:1184428088
Name:ALDAHAN, SABA SABRI (PHARMD)
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:SABRI
Last Name:ALDAHAN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20824 BROOKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2600
Mailing Address - Country:US
Mailing Address - Phone:313-558-4371
Mailing Address - Fax:
Practice Address - Street 1:13403 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1387
Practice Address - Country:US
Practice Address - Phone:313-340-1300
Practice Address - Fax:313-340-1500
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315233945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist