Individual
SACHIT MALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DRIVE, SUITE 207, SOUTHFIELD, MI 48075-6210
(248) 569-4353
Mailing address
22250 PROVIDENCE DR, SUITE 207, SOUTHFIELD, MI 48075-4825
(248) 569-4353
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A107249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1072490
—
CA
Enumeration date
05/24/2007
Last updated
12/05/2014
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