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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1962841544

Siraj Panchbhaiya, DPM is a Podiatry in Warren, Michigan. Qualified in 2013, 13 years ago. Practices with Eastside Podiatry PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11900 E 12 Mile Rd Ste 102
Warren, MI 48093-3487
Phone: (586) 573-7470
Fax: (586) 573-0850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901002488 (MI)

Record details

NPI number1962841544
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 18, 2013
Last updated in NPPESAugust 12, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Eastside Podiatry Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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