NPI 1619728615
Granada Psychiatry L L C
Practice location
- Address
- 1262 Aziz Dr, Canton, MI 48188-5094
- Phone
- (928) 785-7382
- Fax
- (734) 402-8987
- Mailing address
- 7422 S 50th St, Franklin, WI 53132-7714
Authorised official
- Name
- Omar S Waqhar
- Title
- Authorized Official
- Phone
- (734) 673-2937
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1619728615
- Entity type
- Organization
- NPI issued
- 28 Mar 2024
- Record last updated
- 25 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.