Individual
SAYF M ALTABAQCHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
(313) 876-1305
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3880
(551) 996-0949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301099234
MI
207RC0000X
Cardiovascular Disease Physician
MD.207011
LA
207RI0011X
Interventional Cardiology Physician
MD-26427
HI
207RI0011X
Interventional Cardiology Physician
Primary
ME179619
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02356553
—
MS
05
—
2370049
—
LA
Enumeration date
03/23/2011
Last updated
04/23/2026
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