Organization
SUDHAKARAN JEGADEESH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHAKARAN JEGADEESH PT, MBA (OWNER)
(248) 552-1012
Entity
Organization
Contact information
Practice address
17418 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 552-1012
(248) 552-0657
Mailing address
17418 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 552-1012
(248) 552-0657
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501007156
MI
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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