Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEBUOSHON AMALATHASAN, M.D.
Active Sole ProprietorTHEBUOSHON AMALATHASAN, M.D. is a Student (Health Education/Training) healthcare provider located in 15855 19 MILE RD, CLINTON TWP, MI 48038,, Michigan. NPI 1316790447 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · 15855 19 MILE RD, CLINTON TWP, MI 48038,, MI
Registration Details
- NPI Number
- 1316790447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2024 (2.3203951378634 yrs)
- Last Updated
- Jul 31, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
15855 19 MILE RD, CLINTON TWP, MI 48038, USA15855 19 MILE RD, CLINTON TWP, MI 48038,, MI, 48038Browse MI providers · Browse ZIP 48038
- Phone
- 5862632300
- Primary Specialty
-
Student (Health Education/Training)
390200000X
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.