Sanjay P Dalal, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301055590 Issued in MI

Practice address

521 E Michigan Ave
Suite 201
Kalamazoo, MI 49007-3889

Phone

(269) 349-6759

Fax

(269) 349-7450

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1992769699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-349-6759",
            "fax_number": "269-349-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-349-6759",
            "fax_number": "269-349-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SANJAY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055590",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301055590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "1103902830",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4148071",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516520",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nephcenter@directaddress.net",
            "affiliation": "N",
            "address_1": "521 E Michigan Ave Ste 201",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajesh D Dagli, MD
• Michele Catherine Dahlgren
• Joyce Lyn Daily-Spence
• Dalal Dental, PLLC
• Bhumi Sunilbhai Dalal, DMD
• Chris Dale, CPSS
• Patricia Dalian
• Bruce E Dall, M.D.
• Carrie Dall, LMSW
• Stephen N Dallas, M.D., M.A.

• Nephrology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.