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-- SANJAY G. REVANKAR -- M.D.

Individual Provider (NPI-1) Active

Internal Medicine, Infectious Disease

Provider Information

NPI Number
1144267634
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
3901 CHRYSLER DR SUITE 4A, DETROIT, MI, 482012167
Phone
(313) 745-4525
Fax
(313) 577-3223

Specialties & Taxonomies

Internal Medicine License: MI #4301057946
Internal Medicine, Infectious Disease Primary License: MI #4301057946

All Addresses

MAILING

1560 E MAPLE RD SUITE 400-CREDENTIALING

TROY, MI, 480831189

(248) 581-5972

LOCATION

3901 CHRYSLER DR SUITE 4A

DETROIT, MI, 482012167

(313) 745-4525