Healthcare Provider Details

I. General information

NPI: 1306981014
Provider Name (Legal Business Name): SUSHMA N PANDRANGI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSHMA N MAGANI M.D.

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 MCAULEY DR SUITE 4003
YPSILANTI MI
48197-1014
US

IV. Provider business mailing address

5333 MCAULEY DR RM 4003
YPSILANTI MI
48197-1099
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-3470
  • Fax: 734-712-2935
Mailing address:
  • Phone: 734-712-3470
  • Fax: 734-712-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4301078542
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number1306981014
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: