Dr. Sudhakar G. Ezhuthachan
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Sudhakar G. Ezhuthachan, M.D. is a Detroit, Michigan based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Sudhakar G. Ezhuthachan is
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan - 48202. He can be contacted on phone at
313-916-2436.
Dr. Sudhakar G. Ezhuthachan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Sudhakar G. Ezhuthachan is
1972675676 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 16 Jul, 2012.
Dr. Sudhakar G. Ezhuthachan license number is
4301045923 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Dr. Sudhakar G. Ezhuthachan 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:
Dr. Sudhakar G. Ezhuthachan 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 : | Dr. Sudhakar G. Ezhuthachan |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Sudhakar G. Ezhuthachan 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 : | Henry Ford Health System, 2799 West Grand Boulevard
Detroit, MI, 48202
United States |
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| Phone Number : | 313-916-2436 |
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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 : | 1972675676 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 16 Jul, 2012 |
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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 Dr. Sudhakar G. Ezhuthachan are as mentioned. Primary taxonomy code for Dr. Sudhakar G. Ezhuthachan, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301045923 | MI |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 4301045923 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sudhakar G. Ezhuthachan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| SE045923 | Other | | CHAMPUS-CHAMPUS |
| 143010410 | MEDICAID | MI | |
| 700H262280 | Other | | BLUE CROSS-BLUE CROSS |
| SE045923 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
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 : | Henry Ford Health System, 2799 West Grand Boulevard
Detroit, MI, 48202
United States |
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| Phone Number : | 313-916-3146 |
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| Fax Number : | 313-916-8425 |
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Business Location:
Patients can refer following map for directions to
Dr. Sudhakar G. Ezhuthachan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.