Individual
DR. SUMITA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PROVIDENCE HOSPITAL, 16001 W. 9 MILE RD, SOUTHFIELD, MI 48075
(248) 849-3000
Mailing address
1156 HEATHERWOODE RD, FLINT, MI 48532-2336
(810) 449-7547
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036161764
IL
2085R0202X
Diagnostic Radiology Physician
Primary
287695
MA
2085R0202X
Diagnostic Radiology Physician
4301512420
MI
2085R0202X
Diagnostic Radiology Physician
67000
AZ
2085R0202X
Diagnostic Radiology Physician
ME158022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301110830
MEDICAL LICENSE
MI
Enumeration date
08/28/2016
Last updated
02/24/2025
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