Dewar, Shenbagam
Dewar, Shenbagam is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Dewar, Shenbagam can be contacted via phone (734) 764-6831.Contact Information
Primary practice address
4260 Plymouth Rd
Ann Arbor MI 48109-2700
Phone: (734) 764-6831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301108515 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 230753 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301108515 | Michigan |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 4301108515 | Michigan |
Profile Details
| NPI number | 1255323747 |
|---|---|
| LBN Legal business name | Dewar, Shenbagam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255323747 | NPPES |
| California | MEDICAID | 00A871530 | |
| California | MEDICAID | GR0003490 |
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