Individual
DR. NIRMAL NANDAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
7001 LAKEMONT CIR, WEST BLOOMFIELD, MI 48323-2096
(248) 613-5250
(248) 432-1895
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101013192
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101013192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114327279
—
MI
05
—
114327288
—
MI
05
—
114327297
—
MI
01
—
NN013192
BC/BS OF MICHIGAN
MA
Enumeration date
05/31/2006
Last updated
08/15/2024
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