Individual
DR. SANJAY P DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 E MICHIGAN AVE, SUITE 201, KALAMAZOO, MI 49007-3889
(269) 349-6759
(269) 349-7450
Mailing address
521 E MICHIGAN AVE, SUITE 201, KALAMAZOO, MI 49007-3889
(269) 349-6759
(269) 349-7450
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
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