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Individual

SURESH K GEHANI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
468 CADIEUX ROAD, GROSSE POINT, MI 48230-1507
(313) 343-1615
(313) 343-1803
Mailing address
PO BOX 77000, DEPT 77263, DETROIT, MI 48277-0263
(313) 343-1615
(313) 343-1803

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
034326
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2208212761
BS
MI
05
4136230
MI
Enumeration date
05/30/2006
Last updated
07/08/2007
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