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NPI Code Detail

MEDICARE: DR. KALADEVI NADARAJAN MD

MEDICARE: DR. KALADEVI NADARAJAN 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician4301082265MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00049582OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3381358036011OTHERMITRICARE

General Provider Information

NPI Number : 1467447813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KALADEVI NADARAJAN MD
Provider Business Mailing Address
First Line : 145 MICHIGAN ST NE STE 6300
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2562
Country : US
Telephone Number : 616-391-9945
Fax Number : 616-486-6346
Provider Business Practice Location Address
First Line : 145 MICHIGAN ST NE STE 6300
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2562
Country : US
Telephone Number : 616-391-9945
Fax Number : 616-486-6346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/13/2025

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