Individual
DR. SARAT KUMAR VADDINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN STREET, SUITE M-283, KALAMAZOO, MI 49007
(269) 349-7696
(269) 349-0610
Mailing address
601 JOHN ST, SUITE M-283, KALAMAZOO, MI 49007-5341
(269) 349-7696
(269) 349-0610
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301083594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203912341
BCBS
MI
01
—
1417961137
BCBSM - BMH
MI
05
—
1659328508
—
MI
05
—
487650110
—
MI
Enumeration date
05/27/2006
Last updated
11/27/2023
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