Individual
KIRTHANA SUGUNATHEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 OUTER DR W, DETROIT, MI 48235
(313) 966-3300
Mailing address
4201 ST ANTOINE, UHC 9C, DETROIT, MI 48201
(313) 745-6047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
11/27/2023
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