Ajanthan Sivagurunathan, M.D.

NPI #1285071860 in South Lyon, Michigan

Provider Information

NPI Number: 1285071860
Entity Type: Individual
Name: Ajanthan Sivagurunathan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: May 23, 2013
Last Updated: Mar 27, 2014

Practice Location

Address: 210 NORTH LAFAYETTE
Address 2: PROVIDENCE MEDICAL CENTER - SOUTH LYON,
City: South Lyon
State: Michigan
ZIP Code: 48178
Phone: (248) 437-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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