Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sidhartha Tan, MD

Individual provider Pediatrics Physician · NPI 1154480630

Sidhartha Tan, MD is a Pediatrics Physician in Detroit, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2006.

Licensed in
IL, MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 Beaubien Children's Hospital Of Mi
Detroit, MI 48201
Phone: (313) 745-4405
Fax: (313) 966-0665
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Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 4301109000 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301109000 (MI)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 036068889 (IL)

Record details

NPI number1154480630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESMarch 1, 2016

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