Tan, Sidhartha

Tan, Sidhartha is an individual health care provider with primary practice located at 3901 Beaubien Children'S Hospital Of Mi, Detroit MI 48201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Tan, Sidhartha can be contacted via phone (313) 745-4405.

Contact Information

Primary practice address
3901 Beaubien Children'S Hospital Of Mi Detroit MI 48201
Phone: (313) 745-4405
Fax: (313) 966-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301109000 Michigan
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036068889 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301109000 Michigan

Profile Details

NPI number 1154480630
LBN Legal business name Tan, Sidhartha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 1st, 2016 - about 9 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 1154480630 NPPES
Illinois Other 036068889 STATE LICENSE
Illinois Other 4301109000 STATE LICENSE

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