Individual
SRINIVASAN SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDRENS HOSPITAL MI EMERGENCY MED, 3901 BEAUBIEN ER DEPT - MAIN BUILDING, DETROIT, MI 48201
(313) 745-5260
(313) 993-7166
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5975
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301061925
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
4301061925
MI
Other
Enumeration date
06/02/2006
Last updated
12/04/2025
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