Individual
DR. SANJAY CHINTAMAN PATWARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 4C, DETROIT, MI 48201-2153
(313) 745-4525
(313) 745-4399
Mailing address
1560 E MAPLE RD, SUITE 400 CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(313) 745-4399
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MT194880
PA
207VM0101X
Maternal & Fetal Medicine Physician
01096933A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35600
SC
Other
Enumeration date
07/19/2010
Last updated
08/04/2025
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