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Sidhartha Tan, MD
Neonatal-Perinatal Medicine Physician in Detroit, Michigan
NPI 1154480630

Sidhartha Tan is a Neonatal-Perinatal Medicine Physician based in Detroit, MI and is specialized in Neonatal-Perinatal Medicine. Sidhartha Tan practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Sidhartha Tan is 1154480630 and holds a License No. 4301109000 (Michigan).

The current practice location address for Sidhartha Tan is 3901 Beaubien, Detroit, MI and can be reached out via phone at 313-745-4405 and via fax at 313-966-0665. You can also correspond with Sidhartha Tan through the mailing address at 4201 ST. ANTOINE - UHC 5D - #226, DETROIT, MI - 48201-2153 (mailing address contact number: 313-745-4405).

Location: 3901 Beaubien, Detroit, MI, 48201-2153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154480630
Provider Name
Sidhartha Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3901 Beaubien, Detroit, MI, 48201-2153
Phone Number
313-745-4405
Fax Number
313-966-0665
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036068889 01 IL STATE LICENSE
4301109000 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3901 Beaubien
City
Detroit
State
Michigan
Zip
48201
Phone Number
313-745-4405
Fax Number
313-966-0665
person
Provider Business Mailing Address Details
Address
4201 St. Antoine - Uhc 5D - #226
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-4405
Fax Number
313-966-0665
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036068889 (Illinois)
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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
4301109000 (Michigan)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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