Sanganur V. Mahadevan in Warren - General Practice

Sanganur V. Mahadevan - NPI 1871548453

Sanganur V. Mahadevan is a General Practice in Warren, Michigan. Sanganur V. Mahadevan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sanganur V. Mahadevan is 1871548453. The last update date is 2007-07-08.

Sanganur V. Mahadevan's current location address is 11477 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5867510200 and fax number 5867510414. The mailing address for Sanganur V. Mahadevan is 11477 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sanganur V. Mahadevan
Address 11477 E 12 Mile Rd, Warren, Michigan
Phone Number 5867510200
Fax Number 5867510414
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1871548453
Provider Enumeration Date 2006-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11477 E 12 Mile Rd
City Warren
State Michigan (MI)
Post Code 480932678
Phone Number 5867510200
Fax Number 5867510414

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 4301033200
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11-08067781 MI BCBSM
2095952 MI --

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FAQs about Sanganur V. Mahadevan

What is the unique 10-digit identifier code issued to Sanganur V. Mahadevan by the Centers for Medicare & Medicaid Services?

The Sanganur V. Mahadevan has been assigned the NPI (National Provider Identifier) 1871548453 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Sanganur V. Mahadevan is geographically located?

The Sanganur V. Mahadevan is physically situated at the following location: 11477 E 12 Mile Rd, Warren, MI, 480932678.

What is Sanganur V. Mahadevan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sanganur V. Mahadevan is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did Sanganur V. Mahadevan receive its 1871548453 assignment from the Centers for Medicare & Medicaid Services?

The Sanganur V. Mahadevan was assigned its 1871548453 on 2006-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Sanganur V. Mahadevan most recently updated or refreshed?

The details pertaining to the Sanganur V. Mahadevan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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