Madhavan, Tom

Madhavan, Tom is an individual health care provider with primary practice located at 5280 Metropolitan Pkwy , Sterling Heights MI 48310. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Madhavan, Tom can be contacted via phone (586) 446-8688.

Contact Information

Primary practice address
5280 Metropolitan Pkwy Sterling Heights MI 48310
Phone: (586) 446-8688
Fax: (586) 446-9994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301032762 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MI5695018 Michigan

Profile Details

NPI number 1669492633
LBN Legal business name Madhavan, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 15th, 2024 - about 2 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 1669492633 NPPES
Michigan MEDICAID 4619694-10

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