Madhavan, Santhosh

Madhavan, Santhosh is an individual health care provider with primary practice located at 26900 Franklin Rd , Southfield MI 48033-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Madhavan, Santhosh can be contacted via phone (248) 350-8070.

Contact Information

Primary practice address
26900 Franklin Rd Southfield MI 48033-5312
Fax: (248) 350-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301050998 Michigan

Profile Details

NPI number 1124131479
LBN Legal business name Madhavan, Santhosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Sep 2nd, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124131479 NPPES
Michigan Other 25-0F34274-0 BCBS
Michigan Other 2506334501 BCBS
Michigan MEDICAID 4149829 BCBS

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