Individual
DR. EBY ISON THEKKEDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-9068
(734) 936-5377
Mailing address
653-1 W 8TH ST # L18, JACKSONVILLE, FL 32209-6511
(904) 383-1003
(904) 244-7388
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
5101028492
MI
Other
Enumeration date
03/27/2019
Last updated
07/11/2025
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