Active NPI
Aya Omar Saeb, MD
- Internal Medicine Physician
- Southfield, MI
National Provider Identifier
1467765503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301096412
- Practice address
- 21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076-3843 - Phone
- (630) 935-3862
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301096412 | MI | |
| Internal Medicine Physician | 207R00000X | AS3062508-51 | MI | |
| Internal Medicine Physician | 207R00000X | 4301096412 | MI | Primary |
Addresses
Primary practice location
21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076-3843
Mailing address
41472 Glade Rd
Canton, MI 48187-3770
Phone (630) 935-3862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096412 | MI | MD | Internal Medicine Physician |
| AS3062508-51 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1467765503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41472 GLADE RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481873770",
"telephone_number": "630-935-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21540 W 11 MILE RD",
"address_2": "STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763843",
"telephone_number": "630-935-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAEB",
"first_name": "AYA",
"middle_name": "OMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301096412",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "AS3062508-51",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301096412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.