Dewar, Shenbagam

Dewar, Shenbagam is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Dewar, Shenbagam can be contacted via phone (734) 764-6831.

Contact Information

Primary practice address
4260 Plymouth Rd Ann Arbor MI 48109-2700
Phone: (734) 764-6831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301108515 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230753 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301108515 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301108515 Michigan

Profile Details

NPI number 1255323747
LBN Legal business name Dewar, Shenbagam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255323747 NPPES
California MEDICAID 00A871530
California MEDICAID GR0003490

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