Individual provider · Type 1 NPI

Siraj Panchbhaiya, D.P.M.

Foot & Ankle Surgery Podiatrist · Warren, MI

NPI number 1962841544 Active

Practice location

11900 E 12 Mile Rd Ste 102
Warren, MI 48093-3487

Fax (586) 573-0850

Mailing address

20176 Livernois Ave 100
Detroit, MI 48221-1346

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901002488 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1962841544

Siraj Panchbhaiya, D.P.M.'s National Provider Identifier is 1962841544, issued on Jun 18, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Warren, MI. The record was last updated on Aug 12, 2015.