Individual
DR. VANITHA ISAAC JEYARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 WEST COMMERCE RD, MILFORD, MI 48381-1892
(248) 684-7337
(248) 684-1286
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301104104
MI
390200000X
Student in an Organized Health Care Education/Training Program
125-056436
IL
Other
Enumeration date
07/14/2009
Last updated
07/31/2013
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