Provider Demographics
NPI:1396730206
Name:RAMESH, SINDHU (MD)
Entity type:Individual
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First Name:SINDHU
Middle Name:
Last Name:RAMESH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:17177 N LAUREL PARK DR
Mailing Address - Street 2:STE 439
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3938
Mailing Address - Country:US
Mailing Address - Phone:734-462-0340
Mailing Address - Fax:734-462-0344
Practice Address - Street 1:28411 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 1050
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5544
Practice Address - Country:US
Practice Address - Phone:248-354-4709
Practice Address - Fax:248-354-4807
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2020-05-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301079778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI70-0-F32947-0OtherBCBS CPIN #
1396730206OtherNPI
MI4829539Medicaid
I43113Medicare UPIN