Gaddam, Shailaja
Gaddam, Shailaja is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Gaddam, Shailaja can be contacted via phone (800) 653-6568.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 4301084980 | Michigan |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301084980 | Michigan |
Profile Details
NPI number | 1316933971 |
---|---|
LBN Legal business name | Gaddam, Shailaja |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Dec 13th, 2018 - about 7 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 | 1316933971 | NPPES |
Michigan | MEDICAID | 4754518 |
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