MEDICARE: BHAVANI SUNDRAM WHIPPS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301074607	MI

General Provider Information

NPI Number	:	1285607184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVANI SUNDRAM WHIPPS MD

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DR
Second Line	:	PO BOX 0446 - LOBBY J
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:	734-222-3100

Provider Business Practice Location Address
First Line	:	1600 S CANTON CENTER RD
Second Line	:	STE 1200
City	:	CANTON
State	:	MI
Zip	:	48188-1992
Country	:	US
Telephone Number	:	734-398-7880
Fax Number	:	734-761-7318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	10/03/2025

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