Individual
SUCHETA M JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BS
Contact information
Practice address
1500 E MEDICAL CENTER DR, 6TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL, ANN ARBOR, MI 48109-4234
(734) 936-4185
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301080998
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301080998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463950
—
MI
Enumeration date
08/08/2006
Last updated
09/13/2012
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