Organization
JAGNESWAR SAHA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGNESWAR SAHA D.O PHD (DIRECTOR)
(313) 865-2020
Entity
Organization
Contact information
Practice address
211 GLENDALE ST STE 200, HIGHLAND PARK, MI 48203-3231
(313) 865-2020
Mailing address
211 GLENDALE ST STE 200, HIGHLAND PARK, MI 48203-3231
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5101006682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4197263
—
MI
Enumeration date
02/20/2007
Last updated
08/22/2020
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