Sidhartha Tan
MD | Pediatric Neonatal-Perinatal Medicine | Male
Sidhartha Tan, MD is a Detroit, Michigan based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Sidhartha Tan is
3901 Beaubien, Children's Hospital Of Mi, Detroit, Michigan - 48201. He can be contacted on phone at
313-745-4405 and fax number 313-966-0665.
Sidhartha Tan is a sole proprietor of his business.
NPI number (Unique professional ID) for Sidhartha Tan is
1154480630 which was assigned by NPPES on 08 Dec, 2006 and it was last updated on 01 Mar, 2016.
Sidhartha Tan license number is
4301109000 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Sidhartha Tan is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Sidhartha Tan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Sidhartha Tan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Sidhartha Tan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3901 Beaubien, Children's Hospital Of Mi
Detroit, MI, 48201
United States |
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| Phone Number : | 313-745-4405 |
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| Fax Number : | 313-966-0665 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154480630 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Dec, 2006 |
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| Last Updated On : | 01 Mar, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sidhartha Tan are as mentioned. Primary taxonomy code for Sidhartha Tan, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301109000 | MI |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 036068889 | IL |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 4301109000 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Sidhartha Tan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036068889 | Other | IL | STATE LICENSE |
| 4301109000 | Other | MI | STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4201 St. Antoine - Uhc 5d - #226, University Pediatricians
Detroit, MI, 48201-2153
United States |
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| Phone Number : | 313-745-4405 |
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| Fax Number : | 313-966-0665 |
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Business Location:
Patients can refer following map for directions to
Sidhartha Tan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.