Individual
DR. SIVA GADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-3471
Mailing address
35025 CONCORD LN, FARMINGTON HILLS, MI 48331-3243
(319) 777-8109
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD44403
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033518949
—
MI
Enumeration date
08/15/2014
Last updated
03/17/2018
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