Sidhartha Tan is a Pediatrics in Detroit, Michigan. Sidhartha Tan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sidhartha Tan is 1154480630. The last update date is 2016-03-01.
Sidhartha Tan's current location address is 4201 St. Antoine - Uhc 5d - #226, Detroit, Michigan. You can contact this provider via phone number 3137454405 and fax number 3139660665. The mailing address for Sidhartha Tan is 4201 St. Antoine - Uhc 5d - #226, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sidhartha Tan |
|---|---|
| Address | 4201 St. Antoine - Uhc 5d - #226, Detroit, Michigan |
| Phone Number | 3137454405 |
| Fax Number | 3139660665 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154480630 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2016-03-01 |
Provider Mailing Address Detail
| Address | 4201 St. Antoine - Uhc 5d - #226 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137454405 |
| Fax Number | 3139660665 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301109000 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36068889 | IL | STATE LICENSE | |
| 4301109000 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the Sidhartha Tan's unique identification number?
The Sidhartha Tan has been assigned the NPI (National Provider Identifier) Number 1154480630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sidhartha Tan's facilities are geographically located?
The facilities of Sidhartha Tan are physically situated at the following location: 4201 St. Antoine - Uhc 5D - #226, Detroit, MI, 482012153.
What is Sidhartha Tan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sidhartha Tan is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Sidhartha Tan receive its 1154480630 assignment from the Centers for Medicare & Medicaid Services?
The Sidhartha Tan was assigned its 1154480630 by the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date were the Sidhartha Tan's details last updated?
The information pertaining to the Sidhartha Tan, including its address, specialty, and other details, was most recently updated on 2016-03-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY