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Contact Information

NANJAPPA C SADASIVAN, MD
2333 BIDDLE AVENUE
WYANDOTTE, MI48192
 Phone: 734-677-7400
 Fax: 734-677-7407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NANJAPPA C SADASIVAN · (Male)

NPI Number 1386609444
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 07/14/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301033633
  • MI Medicaid 1680573
  • MI Other 3009503251 BCBS OF MI
  • MI Other 3009503251 BCN OF MI
  • MI Other 11293247 CAQH
  • MI Other B45247 HEALTH ALLIANCE PLAN NBR
  • MI Other 0996742 HEALTHPLUS
  • MI Other P00060426 RR MEDICARE PIN
  • MI Other 119545 SELECTCARE
  • MI Other 321192 ULTIMED ID NBR
Hospital affiliation(s)
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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