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Dr. Shailaja Gaddam, MD
Neurology Physician in Detroit, Michigan
NPI 1316933971

Shailaja Gaddam is a Neurology Physician based in Detroit, MI and is specialized in Neurology. Shailaja Gaddam practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Shailaja Gaddam is 1316933971 and holds a License No. 4301084980 (Michigan).

The current practice location address for Shailaja Gaddam is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 800-653-6568.

Location: 2799 W Grand Blvd, Detroit, MI, 48202-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316933971
Provider Name
Shailaja Gaddam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI, 48202-3450
Phone Number
800-653-6568
Fax Number
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4754518 05 MI
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202
Phone Number
800-653-6568
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202
Phone Number
800-653-6568
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301084980 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
4301084980 (Michigan)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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