Sridharan, Mailvaganam

Sridharan, Mailvaganam is an individual health care provider with primary practice located at 1521 Gull Rd , Kalamazoo MI 49048-1640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sridharan, Mailvaganam can be contacted via phone (269) 226-5165.

Contact Information

Primary practice address
1521 Gull Rd Kalamazoo MI 49048-1640
Phone: (269) 226-5165
Fax: (269) 226-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301078343 Michigan
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 4301078343 Michigan

Profile Details

NPI number 1598714990
LBN Legal business name Sridharan, Mailvaganam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 29th, 2016 - about 10 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 1598714990 NPPES
Michigan Other 382567464050 COMMUNITY CHOICE MI
Michigan Other 700F325300 COMMUNITY CHOICE MI
Michigan Other P00261670 COMMUNITY CHOICE MI
Michigan Other MS078343 COMMUNITY CHOICE MI
Michigan Other 110223577 COMMUNITY CHOICE MI
Michigan MEDICAID 4316669 COMMUNITY CHOICE MI

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