Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301093901 | MI |
NPI | 1104001841 |
---|---|
Provider Name | Dr. Suma Lakshmi Amarnath |
First Address | Ypsilanti, MI 48197-1014 |
Second Address | Ypsilanti, MI 48197-1014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 15/06/2021 |