Individual
MR. VIGNESH GUNASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1795
Mailing address
3901 BEAUBIEN STREET, PEDIATRIC EDUCATION DEPARTMENT, CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT, MI 48201
(313) 745-5437
(313) 993-7118
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
30895
WV
390200000X
Student in an Organized Health Care Education/Training Program
4301110392
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/18/2016
Last updated
09/28/2022
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