Provider Demographics
NPI:1770146292
Name:AL-SAGRI, ZAYNAB (MD)
Entity type:Individual
Prefix:
First Name:ZAYNAB
Middle Name:
Last Name:AL-SAGRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19251 MACK AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2891
Mailing Address - Country:US
Mailing Address - Phone:313-343-3823
Mailing Address - Fax:
Practice Address - Street 1:19251 MACK AVE STE 340
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-2891
Practice Address - Country:US
Practice Address - Phone:313-343-3823
Practice Address - Fax:313-343-7840
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301505402207R00000X
TXU0546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine