Individual
SHANTI LYNNE ESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301079935
MI
207RG0100X
Gastroenterology Physician
237313
NY
207RG0100X
Gastroenterology Physician
Primary
4301079935
MI
Other
Enumeration date
04/02/2008
Last updated
06/24/2019
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