Mahadevan, Sanganur V.

Mahadevan, Sanganur V. is an sole proprietor health care provider with primary practice located at 11477 E 12 Mile Rd , Warren MI 48093-2678. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mahadevan, Sanganur V. can be contacted via phone (586) 751-0200.

Contact Information

Primary practice address
11477 E 12 Mile Rd Warren MI 48093-2678
Phone: (586) 751-0200
Fax: (586) 751-0414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301033200 Michigan

Profile Details

NPI number 1871548453
LBN Legal business name Mahadevan, Sanganur V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1871548453 NPPES
Michigan Other 11-08067781 BCBSM
Michigan MEDICAID 2095952 BCBSM

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