Individual
DR. SANTHOSH MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
(248) 350-8070
(248) 350-8078
Mailing address
30206 HICKORY LN, FRANKLIN, MI 48025-2308
(248) 761-9556
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301050998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-0F34274-0
BCBS
MI
01
—
2506334501
BCBS BCN
—
05
—
4149829
—
MI
Enumeration date
08/17/2006
Last updated
09/02/2009
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