Provider Demographics
NPI:1881746832
Name:GAPPY, SAHAR M (MD)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:M
Last Name:GAPPY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2549 NORWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1158
Mailing Address - Country:US
Mailing Address - Phone:248-858-2784
Mailing Address - Fax:
Practice Address - Street 1:36175 HARPER AVE
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-3274
Practice Address - Country:US
Practice Address - Phone:586-741-3772
Practice Address - Fax:586-741-4604
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010727122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1006439OtherMCLAREN HEALTH
Q26008071OtherRR MEDICARE
0Q26008OtherBLUE CARE NETWORK
MI0Q26008OtherBCBS OF MICHIGAN
MI4978520Medicaid
$$$$$$$$$OtherWPS TRICARE FOR LIFE
$$$$$$$$$OtherHEALTH NET FED SERVICES
$$$$$$$$$OtherWPS TRICARE FOR LIFE