DR. SHOBANA SUNDARAM


Address: 43184 Dequindre Rd, Ste 208, Sterling Heights, MI 48314
Phone: 5867311500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 4301077847 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 43184 DEQUINDRE RD
STE 208
City STERLING HEIGHTS
State MI
Zip Code 48314

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City STERLING HEIGHTS
Zip Code 48314

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Dataset Information

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.

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