Individual
DR. SUHASINI S MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18420 FARMINGTON RD, LIVONIA, MI 48152-3588
(734) 425-5320
(734) 425-6212
Mailing address
18420 FARMINGTON RD, LIVONIA, MI 48152-3588
(734) 425-5320
(734) 425-6212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SM047972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2826930
—
MI
01
—
OH28401
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/19/2006
Last updated
04/29/2014
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