Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Granada Psychiatry L L C

Organization Psychiatry Physician · NPI 1619728615

Granada Psychiatry L L C is a Psychiatry Physician in Canton, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1262 Aziz Dr
Canton, MI 48188-5094
Phone: (928) 785-7382
Fax: (734) 402-8987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1619728615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Waqhar — Authorized Official · (734) 673-2937
NPI enumeratedMarch 28, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address7422 S 50th St, Franklin, WI 53132-7714

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