Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871548453 Individual Practitioner Male Practitioner

Dr. Sanganur V. Mahadevan , MD

General Practice • Warren, MI

Professional Overview & Biography Verified Profile Summary

Dr. Sanganur Mahadevan, MD is a registered healthcare professional specializing in General Practice in Warren, MI. Practice services are available at 11477 E 12 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11477 E 12 Mile Rd

Warren, MI 480932678

Telephone 5867510200
Fax 5867510414
Associated Practice Facility / Clinic
🏢 Benchmark Health Pc Facility NPI 1467524421

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Warren, MI (445 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301033200

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2095952 (MI)
Commercial Insurance / Payer ID Bcbsm
11-08067781 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1093838666

Doctor of Podiatric Medicine

Dr. George Metropoulos , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1255403218

Doctor of Medicine (M.D.)

NPI 1275585887

DOMPHFACOEM

NPI 1275588873

Doctor of Medicine (M.D.)

Dr. Andre Rowlett , MD

General Practice

NPI 1487609038

Doctor of Medicine (M.D.)

Dr. E Metropoulos , MD

General Practice

NPI 1649207846

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11477 E 12 MILE RD, WARREN, MI 480932678 (Tel: 5867510200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11477 E 12 MILE RD, WARREN, MI 480932678 (Tel: 5867510200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SANGANUR MAHADEVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #4301033200 in MI)

🟢
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871548453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

11477 E 12 Mile Rd

Warren, MI 480932678

Phone: 5867510200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.