DR. SHOBANA SUNDARAM (NPI# 1932138583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932138583 |
Entity Type | Individual |
Full Name | DR. SHOBANA SUNDARAM |
Credential | M.D. |
Practice Address |
43184 Dequindre Rd Ste 208 Sterling Heights MI 48314 |
Practice Telephone | 5867311500 |
Practice Fax Number | 5867311363 |
Mailing Telephone | 5867311500 |
Mailing Fax Number | 5867311363 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2017-01-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 4301077847 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | HEALTHPLUS COMMERCIAL | 01004032 | 01 |
MA | MCLAREN HEALTH PLAN | 1010591 | 01 |
MI | PHP COMMERCIAL | 200000005894 | 01 |
MI | BCBSM | 3502911592 | 01 |
MI | MCLAREN HEALTH PLAN | 1010590 | 01 |
MI | 4558267-10 | 05 | |
MI | 4711851-10 | 05 |
Street Address |
43184 DEQUINDRE RD STE 208 |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316419609 | Amanda Marie Gough | Nurse Practitioner | 43184 Dequindre Rd, Sterling Heights, MI 48314-1709 | 2018-12-26 |
1689012601 | Pediatric and Adolescent Care Associates, PC | Pediatrics | 43184 Dequindre Rd, Suite 208, Sterling Heights, MI 48314-1709 | 2013-06-12 |
1841510856 | Swati Dilip Dakwale | Occupational Therapist | 43184 Dequindre Rd, Suite 209, Sterling Heights, MI 48314-1709 | 2010-06-02 |
1063744969 | Physicians Vein Care, Pllc | Family Medicine | 43184 Dequindre Rd, Suite 202, Sterling Heights, MI 48314-1709 | 2010-02-03 |
1043549140 | Innovative Ear & Hearing | Hearing Aid Equipment | 43184 Dequindre Rd, Suite 204, Sterling Heights, MI 48314-1709 | 2009-12-18 |
1730331687 | Dipak Patel | Physical Therapist | 43184 Dequindre Rd, Suite 209, Sterling Heights, MI 48314-1709 | 2008-10-22 |
1154505493 | Deepti Kalyankar | Physical Therapist | 43184 Dequindre Rd, Suite # 209, Sterling Heights, MI 48314-1709 | 2007-12-21 |
1275752255 | Jeffrey S. Lipsky Md Pllc | Internal Medicine | 43184 Dequindre Rd, Suite 201, Sterling Heights, MI 48314-1709 | 2007-04-25 |
1861509283 | Kevin S. Hartig | Hearing Instrument Specialist | 43184 Dequindre Rd, Suite 204, Sterling Heights, MI 48314-1709 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
Find all providers in zip 48314 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972890028 | Sherlyana Surja | Pediatrics | 43200 Dequindre Rd Ste 1, Sterling Heights, MI 48314-1707 | 2011-07-08 |
1598859423 | Zehra Abdur Rasheed | Pediatrics | 37300 Dequindre Road, Suite 202, Sterling Heights, MI 48310 | 2006-10-03 |
1316995145 | Eileen M. Pokriefka | Pediatrics | 35111 Dodge Park Rd, Sterling Heights, MI 48312-3922 | 2006-05-04 |
1023009305 | Rebecca K Wegner | Pediatrics | 42141 Mound Rd, Ste B, Sterling Heights, MI 48314 | 2005-11-04 |
1699766477 | Inder J Saini | Pediatrics | 3850 Metro Pkwy, Sterling Heights, MI 48310-3709 | 2005-11-02 |
1689012601 | Pediatric and Adolescent Care Associates, PC | Pediatrics | 43184 Dequindre Rd, Suite 208, Sterling Heights, MI 48314-1709 | 2013-06-12 |
1104172212 | Paul Luke Gogue | Pediatrics | 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310-1764 | 2012-07-25 |
1548551732 | Town Pediatric Clinic Pllc | Pediatrics | 3755 E. 15 Mile Road, Sterling Heights, MI 48310 | 2011-04-22 |
1316100217 | Sheela Madipelli | Pediatrics | 41400 Dequindre Rd, Suite 121, Sterling Heights, MI 48314-3763 | 2008-07-10 |
1760659767 | Pediatrics Plus Plc | Pediatrics | 37300 Dequindre Rd, Suite 202, Sterling Heights, MI 48310-3591 | 2008-05-09 |
Find all providers in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48314 |
Please comment or provide details below to improve the information on DR. SHOBANA SUNDARAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.