Individual
NANJAPPA C SADASIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301033633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0996742
HEALTHPLUS
MI
01
—
11293247
CAQH
MI
01
—
119545
SELECTCARE
MI
05
—
1680573
—
MI
01
—
3009503251
BCBS OF MI
MI
01
—
321192
ULTIMED ID NBR
MI
01
—
B45247
HEALTH ALLIANCE PLAN NBR
MI
01
—
P00060426
RR MEDICARE PIN
MI
Enumeration date
04/19/2006
Last updated
07/14/2009
Update your record
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