Sudipta Dhar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

SD074233 Issued in MI

Practice address

2900 Union Lake Rd
Suite 110
Commerce Township, MI 48382-3500

Phone

(248) 366-0101

Fax

(248) 366-0108

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sdhar@direct.dmc.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013925858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 E STRONG CT",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231578",
            "telephone_number": "248-738-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 110",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-366-0101",
            "fax_number": "248-366-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAR",
        "first_name": "SUDIPTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "SD074233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "SD074233",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4477955",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Detroit Institute for Children
• Detroit Institute for Children
• Detroit Medical Center
• Detroit Medical Center
• Devoire Counseling PLLC
• Gurneet Dhillon
• Teresa Diehl
• Nancy Dijanni, CNP
• Samantha Christina Dimercurio
• Cynthia Diskin, CNP

• Pediatrics Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.