Individual provider · Type 1 NPI
Ajanthan Sivagurunathan, MD
Student in an Organized Health Care Education/Training Program · South Lyon, MI
Practice location
210 North Lafayette, Providence Medical Center - South Lyon,
South Lyon, MI 48178
Fax (248) 437-3245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1285071860
Ajanthan Sivagurunathan, MD's National Provider Identifier is 1285071860, issued on May 23, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Lyon, MI. The record was last updated on Mar 27, 2014.