Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HARSHINI A JAYASURIYA, M.D.

Deactivated Sole Proprietor

DR. HARSHINI A JAYASURIYA, M.D. is a Family Medicine healthcare provider located in OKEMOS, Michigan. NPI 1043507833 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · OKEMOS, MI

This NPI has been deactivated. The record was deactivated on February 14, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1043507833
Provider Type: Individual
Gender: Female
NPI Issued: Jun 30, 2011 (11.627397260274 yrs)
Last Updated: Jan 22, 2025
Deactivated: Feb 14, 2023
Licenses: 036.167374 (IL)

01091856A (IN)

MD2024-0792 (NM)

TPME6793 (FL)

35C.000284 (OH)
Sole Proprietor: Yes

Practice Information

Address: 2205 JOLLY RD STE B

OKEMOS, MI, 488643983
Browse MI providers · Browse ZIP 48864
Phone: 5173474085
Fax: 5173474170
Primary Specialty: Family Medicine
207Q00000X
Additional Specialty: Family Medicine
Additional Specialty: Family Medicine
Additional Specialty: Family Medicine
Additional Specialty: Family Medicine

Other Family Medicine Providers in OKEMOS, MI

Name	Credential	NPI
MR. WILLIAM THOMAS MANGAN JR.	DO	1851392195
DR. DENNIS JAMES PERRY	M.D.	1770578965
DR. KASHMIRA CHINOY	M.D.	1831184928
VICKI MANZANO	DO	1124006259
DR. ORLANDO O MATIAS	D.O	1992773402
GEORGE D HORN	MD	1245298603

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.