Provider Demographics
NPI:1467447813
Name:NADARAJAN, KALADEVI (MD)
Entity type:Individual
Prefix:DR
First Name:KALADEVI
Middle Name:
Last Name:NADARAJAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 MICHIGAN ST NE STE 6300
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2562
Mailing Address - Country:US
Mailing Address - Phone:616-391-9945
Mailing Address - Fax:616-486-6346
Practice Address - Street 1:145 MICHIGAN ST NE STE 6300
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2562
Practice Address - Country:US
Practice Address - Phone:616-391-9945
Practice Address - Fax:616-486-6346
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00049582OtherRAILROAD MEDICARE
MI4890897Medicaid
MI381358036011OtherTRICARE
H91339Medicare UPIN
MI0M03300041Medicare PIN