Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 4301093304 | MI |
NPI | 1538399621 |
---|---|
Provider Name | Dr. Sonal Saraiya |
First Address | Royal Oak, MI 48067-1686 |
Second Address | Detroit, MI 48201-2119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 23/07/2009 |