Provider Demographics
NPI:1841278785
Name:SAKER, NEDA (MD)
Entity type:Individual
Prefix:DR
First Name:NEDA
Middle Name:
Last Name:SAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEDA
Other - Middle Name:
Other - Last Name:SAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 745
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-0745
Mailing Address - Country:US
Mailing Address - Phone:248-435-9310
Mailing Address - Fax:248-435-9360
Practice Address - Street 1:1380 COOLIDGE HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7018
Practice Address - Country:US
Practice Address - Phone:248-435-9310
Practice Address - Fax:248-435-9360
Is Sole Proprietor?:No
Enumeration Date:2005-12-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4648257Medicaid
MIOF36132Medicare ID - Type Unspecified
MI4648257Medicaid