Dr Madana Jeevanandam, MD - Otolaryngology in Detroit, MI

Dr Madana Jeevanandam, MD is a Otolaryngology physician based in Detroit, Michigan. Dr Madana Jeevanandam is licensed to practice in Michigan (license number 4301-106057) and his current practice location is 4201 Saint Antoine St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (514) 515-8052.

NPI number for Dr Madana Jeevanandam is 1386033272 and his current mailing address is 4201 Saint Antoine St, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386033272.

Contact Information

Dr Madana Jeevanandam, MD
4201 Saint Antoine St,
Detroit, MI 48201-2153
(514) 515-8052
Not Available

Map and Direction




Physician's Profile

Full NameDr Madana Jeevanandam
GenderMale
SpecialityOtolaryngology
Location4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386033272
  • Provider Enumeration Date: 01/14/2015
  • Last Update Date: 02/15/2015

Medical Identifiers

Medical identifiers for Dr Madana Jeevanandam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386033272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 4301-106057 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Madana Jeevanandam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Madana Jeevanandam, MD
4201 Saint Antoine St,
Detroit, MI 48201-2153

Ph: (514) 515-8052
Dr Madana Jeevanandam, MD
4201 Saint Antoine St,
Detroit, MI 48201-2153

Ph: (514) 515-8052

Reviews and Comments


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