Individual
SUDIPTA DHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 UNION LAKE RD, SUITE 110, COMMERCE TOWNSHIP, MI 48382-3500
(248) 366-0101
(248) 366-0108
Mailing address
4865 E STRONG CT, ORCHARD LAKE, MI 48323-1578
(248) 738-5414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SD074233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4477955
—
MI
01
—
SD074233
MICHIGAN LICENSE
MI
Enumeration date
08/04/2006
Last updated
07/09/2007
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