Sidra Sinan, PAC

Key facts

NPI

1629988134

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

5601014290 (MI)

Practice address

13530 Michigan Ave
Dearborn, MI 48126-3574

Phone

(313) 582-0100

NPI assigned

Sep 8, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2026.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1629988134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 TRAILWAY CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-582-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINAN",
        "first_name": "SIDRA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601014290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dearborn, MI · Physician Assistant in Michigan