Sanjay G. Revankar in Detroit - Internal Medicine

Sanjay G. Revankar - NPI 1144267634

Sanjay G. Revankar is a Internal Medicine in Detroit, Michigan. Sanjay G. Revankar practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Sanjay G. Revankar is 1144267634. The last update date is 2016-04-18.

Sanjay G. Revankar's current location address is 3901 Chrysler Dr, Detroit, Michigan. You can contact this provider via phone number 3137454525 and fax number 3135773223. The mailing address for Sanjay G. Revankar is 3901 Chrysler Dr, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sanjay G. Revankar
Address 3901 Chrysler Dr, Detroit, Michigan
Phone Number 3137454525
Fax Number 3135773223
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1144267634
Provider Enumeration Date 2006-06-01
Last Updated Date 2016-04-18

Provider Mailing Address Detail

Address 3901 Chrysler Dr
City Detroit
State Michigan (MI)
Post Code 482012167
Phone Number 3137454525
Fax Number 3135773223

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 4301057946
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
488412910 MI --
SR057946 CHAMPUS-CHAMPUS
SR057946 COMMERCIAL-COMMERCIAL NUMBER
700H262220 BLUE CROSS-BLUE CROSS

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FAQs about Sanjay G. Revankar

What is the unique 10-digit identifier code issued to Sanjay G. Revankar by the Centers for Medicare & Medicaid Services?

The Sanjay G. Revankar has been assigned the NPI (National Provider Identifier) 1144267634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Sanjay G. Revankar is physically located?

The Sanjay G. Revankar is situated at the following address: 3901 Chrysler Dr, Detroit, MI 482012167.

What is Sanjay G. Revankar's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sanjay G. Revankar is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Sanjay G. Revankar receive its 1144267634 assignment from the Centers for Medicare & Medicaid Services?

The Sanjay G. Revankar was assigned its 1144267634 by the Centers for Medicare & Medicaid Services on 2006-06-01.

When was the Sanjay G. Revankar's information last updated?

The Sanjay G. Revankar's information was last updated on 2016-04-18.

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