Sailaja Datla Md Plc

LBN: Sailaja Datla Md Plc
Sailaja Datla Md Plc is an health care organization with primary practice located at 21519 Harper Ave Ste 108 , Saint Clair Shores MI 48080-2220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sailaja Datla Md Plc can be contacted via phone (586) 445-3706, or through Datla, Sailaja via phone (586) 445-3706.

Contact Information

Primary practice address
21519 Harper Ave Ste 108 Saint Clair Shores MI 48080-2220
Phone: (586) 445-3706
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Datla, Sailaja Doctor of Medicine (MD)
Phone: (586) 445-3706

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X SD070545 Michigan

Profile Details

NPI number 1881928455
LBN Legal business name Sailaja Datla Md Plc
DBA Doing business as
Authorized official Datla, Sailaja Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2009
Last updated Sep 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881928455 NPPES
Other 1105010262 BCBS
MEDICAID 4354525 BCBS

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