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Contact Information

SHAILAJA GADDAM, MD
2799 W GRAND BLVD
DETROIT, MI48202
 Phone: 800-653-6568
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SHAILAJA GADDAM · (Female)

NPI # 1316933971
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 12/13/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301084980
  • MI Medicaid 4754518
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
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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