Individual provider · Type 1 NPI

Theourrn Amalathasan, MD

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

NPI number 1689366767 Active · reactivated Mar 5, 2024

Practice location

1500 E Sherman Blvd
Muskegon, MI 49444-1849

Call (231) 672-2000 Map

Mailing address

1675 Leahy St Ste 315A
Muskegon, MI 49442-5543

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1689366767

Theourrn Amalathasan, MD's National Provider Identifier is 1689366767, issued on May 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Muskegon, MI. The record was last updated on Aug 5, 2025.