Individual
SAVITHA KADAKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8244 METROPOLITAN PKWY, SUITE A, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Mailing address
8244 METROPOLITAN PKWY, SUITE A, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301091736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205126430
CORPORATE NPI
MI
05
—
1477569176
—
MI
01
—
383834241
TAX ID
MI
01
—
4301091736
LICENSE
MI
01
—
700H217350
MI BLUE SHIELD
MI
Enumeration date
08/01/2006
Last updated
11/30/2012
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