SIDHARTHA TAN

DETROIT, MI
NPI1154480630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI  4301109000)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301109000)
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL  036068889)
Enumeration Date2006-12-08
Last Update Date2016-03-01
Business Address
-- SIDHARTHA TAN MD
3901 BEAUBIEN CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Phone number: 313-745-4405
Mailing Address
-- SIDHARTHA TAN MD
4201 ST. ANTOINE - UHC 5D - #226 UNIVERSITY PEDIATRICIANS
DETROIT, MI 48201-2153
Phone number: 313-745-4405