Provider Demographics
NPI:1104443555
Name:SAGHERIAN, TANYA NIYERI (MD)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:NIYERI
Last Name:SAGHERIAN
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 1:16880 YONGE STREET
Mailing Address - Street 2:UNIT 1
Mailing Address - City:NEWMARKET
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L3Y 0A3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16880 YONGE STREET
Practice Address - Street 2:UNIT 1
Practice Address - City:NEWMARKET
Practice Address - State:ONTARIO
Practice Address - Zip Code:L3Y 0A3
Practice Address - Country:CA
Practice Address - Phone:905-503-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01089109A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine