Individual
DR. SHENBAGAM DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230753
MA
207Q00000X
Family Medicine Physician
4301108515
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301108515
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301108515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A871530
—
CA
05
—
GR0003490
—
CA
Enumeration date
08/19/2005
Last updated
03/20/2023
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