SearchMichigan207Y00000X

Madana Jeevanandam, M.D

NPI 1386033272 · on the registry since 2015 · sole proprietor

Practice

Address
4201 Saint Antoine St
Detroit, MI 48201
Phone
(514) 515-8052
Organisation at this address
Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
803

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan