Saker Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063663 Issued in MI

Legal business name

SAKER MEDICAL GROUP PC

Practice address

3990 John R St
Suite 805
Detroit, MI 48201-2018

Phone

(313) 745-8040

NPI assigned

Jun 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Safwan Saker, M.D.

Title

Owner

Phone

(248) 969-3220

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1730121054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 BOULDER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841120",
            "telephone_number": "248-969-3220",
            "fax_number": "248-274-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "address_2": "SUITE 805",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "SAKER",
        "authorized_official_first_name": "SAFWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-969-3220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1108269021",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4963367",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint John Hospital & Medical Center
• Amena Farheen Saiyed, M.D.
• Theres Rosa Sajan, PHARMD
• Annmarie Theresa Sajeev, M.D
• Rida Sajid
• Sirisha Hanuma Sakhamuru, MD
• Anna Sakolosky Ownby, LLMSW
• Sharif Hassan Sakr, M.D.
• Wael Assad Sakr, MD
• Neal Sakwa, MD

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.