National Provider Identifier Database

SHAILAJA GADDAM, MD – NPI #1316933971
Neurology

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.


Contact Information

SHAILAJA GADDAM, MD
2799 W GRAND BLVD
DETROIT, MI48202
Phone: 800-653-6568
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SHAILAJA GADDAM

NPI Number 1316933971
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 12/13/2018 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301084980
  • MI Medicaid: 4754518
Hospital affiliation n/a

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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