Provider Demographics
NPI:1982712287
Name:DALATI, SARIH (MD)
Entity Type:Individual
Prefix:
First Name:SARIH
Middle Name:
Last Name:DALATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 250974
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325
Mailing Address - Country:US
Mailing Address - Phone:586-773-9950
Mailing Address - Fax:586-773-9970
Practice Address - Street 1:22850 KELLY ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-773-9950
Practice Address - Fax:586-773-9970
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010549322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology