Individual
DR. ISHAN RANSIKA PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DRIVE, 6 PMB SUITE #601, SOUTHFIELD, MI 48075-4818
(248) 569-7745
(248) 569-4539
Mailing address
22250 PROVIDENCE DRIVE, 6 PMB SUITE #601, SOUTHFIELD, MI 48075-4818
(248) 569-7745
(248) 569-4539
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5151017184
MI
Other
Enumeration date
03/31/2025
Last updated
05/12/2025
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