Provider Demographics
NPI:1336723485
Name:SAREINI, MEDINA (MD)
Entity type:Individual
Prefix:DR
First Name:MEDINA
Middle Name:
Last Name:SAREINI
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 1:1535 E STATE FAIR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-1257
Mailing Address - Country:US
Mailing Address - Phone:313-891-2740
Mailing Address - Fax:313-731-0213
Practice Address - Street 1:1535 E STATE FAIR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-1257
Practice Address - Country:US
Practice Address - Phone:313-891-2740
Practice Address - Fax:313-731-0213
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301514934208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics