MEDICARE: DR. SAILAJAH JANARTHANAN M.D.

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	207R00000X	Internal Medicine Physician	35946	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1811098247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAILAJAH JANARTHANAN M.D.

Provider Business Mailing Address
First Line	:	5555 CONNER ST
Second Line	:	STE 2074
City	:	DETROIT
State	:	MI
Zip	:	48213-3448
Country	:	US
Telephone Number	:	313-921-8110
Fax Number	:	313-579-9221

Provider Business Practice Location Address
First Line	:	5555 CONNER ST
Second Line	:	STE 2074
City	:	DETROIT
State	:	MI
Zip	:	48213-3448
Country	:	US
Telephone Number	:	313-921-8110
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/02/2014

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