| Sajeda Nusrat Md Family Medicine Pllc | |
|
3310 Shattuck Rd Saginaw MI 48603-3263 | |
| (989) 249-4040 | |
| (989) 249-4045 |
| Full Name | Sajeda Nusrat Md Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3310 Shattuck Rd, Saginaw, Michigan |
| Authorized Official Name and Position | Sajeda Nusrat (OWNER) |
| Authorized Official Contact | 9892494040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sajeda Nusrat Md Family Medicine Pllc 3310 Shattuck Rd Saginaw MI 48603-3263 Ph: (989) 249-4040 | Sajeda Nusrat Md Family Medicine Pllc 3310 Shattuck Rd Saginaw MI 48603-3263 Ph: (989) 249-4040 |
| NPI Number | 1114288446 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 1456517325 |
|---|---|
| Medicare Enrollment ID | O20120720000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114288446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301079825 (Michigan) | Primary |
| Provider Name | Sajeda Nusrat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912993924 PECOS PAC ID: 7214969294 Enrollment ID: I20050910000167 |
| Provider Name | Devin B O'hora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659062669 PECOS PAC ID: 1850759820 Enrollment ID: I20230623000264 |
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