person
Sanganur V. Mahadevan, MD
General Practice Physician in Warren, Michigan
NPI 1871548453

Sanganur V. Mahadevan is a General Practice Physician based in Warren, MI. Sanganur V. Mahadevan practices in Warren, MI and has the professional credentials of MD. The NPI Number for Sanganur V. Mahadevan is 1871548453 and holds a License No. 4301033200 (Michigan).

The current practice location address for Sanganur V. Mahadevan is 11477 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-751-0200 and via fax at 586-751-0414. You can also correspond with Sanganur V. Mahadevan through the mailing address at 11477 E 12 MILE RD, WARREN, MI - 48093-2678 (mailing address contact number: 586-751-0200).

Location: 11477 E 12 Mile Rd, Warren, MI, 48093-2678
person
Provider Profile Details
NPI Number
1871548453
Provider Name
Sanganur V. Mahadevan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11477 E 12 Mile Rd, Warren, MI, 48093-2678
Phone Number
586-751-0200
Fax Number
586-751-0414
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-08067781 01 MI BCBSM
2095952 05 MI
institution
Provider Business Practice Location Address Details
Address
11477 E 12 Mile Rd
City
State
Zip
48093-2678
Phone Number
586-751-0200
Fax Number
586-751-0414
person
Provider Business Mailing Address Details
Address
11477 E 12 Mile Rd
City
State
Zip
48093-2678
Phone Number
586-751-0200
Fax Number
586-751-0414
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301033200 (Michigan)
Definition
Definition to come...
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