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Individual

DR. SATISH KUMAR CHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 475-6800
(248) 355-1402
Mailing address
4530 ECHO RD, BLOOMFIELD HILLS, MI 48302-1951
(313) 587-5580

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301040701
MI
2084P0800X
Psychiatry Physician
Primary
4301040701
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1594724
MI
01
2648200032
BCBS PROVIDER ID
MI
01
382507138
TAX ID
MI
Enumeration date
01/25/2006
Last updated
01/30/2014
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