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Ajanthan Sivagurunathan, MD
Student in an Organized Health Care Education/Training Program in South Lyon, Michigan
NPI 1285071860

Ajanthan Sivagurunathan is a Student in an Organized Health Care Education/Training Program based in South Lyon, MI. Ajanthan Sivagurunathan practices in South Lyon, MI and has the professional credentials of MD. The NPI Number for Ajanthan Sivagurunathan is 1285071860 and holds a License No. (Michigan).

The current practice location address for Ajanthan Sivagurunathan is 210 North Lafayette, South Lyon, MI and can be reached out via phone at 248-437-1744 and via fax at 248-437-3245.

Location: 210 North Lafayette, South Lyon, MI, 48178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285071860
Provider Name
Ajanthan Sivagurunathan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 North Lafayette, South Lyon, MI, 48178
Phone Number
248-437-1744
Fax Number
248-437-3245
Provider Enumeration Date
05/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 North Lafayette
City
South Lyon
State
Michigan
Zip
48178
Phone Number
248-437-1744
Fax Number
248-437-3245
person
Provider Business Mailing Address Details
Address
210 North Lafayette
City
South Lyon
State
Michigan
Zip
48178
Phone Number
248-437-1744
Fax Number
248-437-3245
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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