Individual
DR. SANJAY P DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301055590
MI
207RN0300X
Nephrology Physician
Primary
4301055590
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103902830
BCBS INDIVIDUAL ID
MI
05
—
3516520
—
MI
05
—
4148071
—
MI
Enumeration date
04/12/2006
Last updated
04/28/2021
Update your record
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