Individual provider · Type 1 NPI

Surya Raj Sudarsan, DPM

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1467385583 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Call (517) 898-1928 Map

Mailing address

2600 Robins Way
Okemos, MI 48864-3380

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5951001629 (MI)

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.

662 other providers at this address

Other student in an organized health care education/training program providers in Detroit

See all in Detroit →

About NPI 1467385583

Surya Raj Sudarsan, DPM's National Provider Identifier is 1467385583, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 16, 2026.