Provider Demographics
NPI:1982049854
Name:SAYAL, NAVDEEP (DO)
Entity Type:Individual
Prefix:DR
First Name:NAVDEEP
Middle Name:
Last Name:SAYAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:NAVDEEP
Other - Middle Name:RICKY
Other - Last Name:SAYAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:25500 MEADOWBROOK RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1882
Mailing Address - Country:US
Mailing Address - Phone:248-488-7719
Mailing Address - Fax:
Practice Address - Street 1:25500 MEADOWBROOK RD STE 220
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1882
Practice Address - Country:US
Practice Address - Phone:248-477-7020
Practice Address - Fax:248-477-2440
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020256207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery