Provider Demographics
NPI:1285353870
Name:DIOP, BAIDY SIDY
Entity type:Individual
Prefix:
First Name:BAIDY
Middle Name:SIDY
Last Name:DIOP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30600 TELEGRAPH RD STE 3240
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4589
Mailing Address - Country:US
Mailing Address - Phone:248-408-1706
Mailing Address - Fax:
Practice Address - Street 1:30600 TELEGRAPH RD STE 3240
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4589
Practice Address - Country:US
Practice Address - Phone:248-408-1706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter