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Sujeivan Mahendram, MD
Student in an Organized Health Care Education/Training Program in Pontiac, Michigan
NPI 1417573544

Sujeivan Mahendram is a Student in an Organized Health Care Education/Training Program based in Pontiac, MI. Sujeivan Mahendram practices in Pontiac, MI and has the professional credentials of MD. The NPI Number for Sujeivan Mahendram is 1417573544 and holds a License No. 4351046573 (Michigan).

The current practice location address for Sujeivan Mahendram is 44405 Woodward Ave # H-23, Pontiac, MI and can be reached out via phone at 248-858-3000.

Location: 44405 Woodward Ave # H-23, Pontiac, MI, 48341-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417573544
Provider Name
Sujeivan Mahendram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
44405 Woodward Ave # H-23, Pontiac, MI, 48341-5023
Phone Number
248-858-3000
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44405 Woodward Ave # H-23
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-3000
Fax Number
person
Provider Business Mailing Address Details
Address
44405 Woodward Ave # H-23
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-3000
Fax Number
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.
4351046573 (Michigan)
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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