1. Home
  2. Directory
  3. Michigan
  4. Warren
  5. General Practice
  6. NPI Profile

SANGANUR V. MAHADEVAN M.D.
NPI 1871548453
General Practice in Warren, MI

Active since May 23, 2006
11477 E 12 MILE RD, WARREN, MI 48093(586) 751-0200(586) 751-0414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanganur V. Mahadevan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGANUR V. MAHADEVAN M.D. (NPI 1871548453) is an individual general practice provider in Warren, Michigan, licensed in Michigan (4301033200) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1871548453
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSANGANUR V. MAHADEVANCredential: M.D.
Location Address11477 E 12 MILE RDWarren, MI 48093-2678
Mailing Address11477 E 12 Mile RdWarren, MI 48093-2678 · (586) 751-0200 · Fax (586) 751-0414
Phone(586) 751-0200
Fax(586) 751-0414
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871548453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301033200
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11477 E 12 MILE RD, Warren, MI 48093
Open in Google Maps ↗

Other Identifiers 4

Other11-08067781MI · Bcbsm
Medicare UPIND72823MI
Medicaid2095952MI
Medicare ID-Type Unspecified0826778MI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT J GREEN DPM
Podiatrist
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
GEORGE E METROPOULOS MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
BENCHMARK HEALTH PC
Internal Medicine
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200
RESIDENTIAL HOME HEALTHCARE
Clinic/Center (Primary Care)
11477 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 751-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanganur Mahadevan's NPI number?

The NPI number for Sanganur Mahadevan is 1871548453. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Sanganur Mahadevan located?

Sanganur Mahadevan practices at 11477 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 751-0200.

What is Sanganur Mahadevan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sanganur Mahadevan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.