Individual
SUJATA SURENDAR PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301086397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H149970
BCBSM
MI
05
—
4795870
—
MI
05
—
4795922
—
MI
Enumeration date
03/29/2006
Last updated
01/14/2025
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