Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTOR JAYASUNDERA, RPT
ActiveVICTOR JAYASUNDERA, RPT is a Specialist healthcare provider located in SOUTHFIELD, Michigan. NPI 1558488783 is currently active in the NPPES registry. Verify at CMS.
Specialist · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1558488783
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2007 (19.385007643361 yrs)
- Last Updated
- Jan 26, 2012
- License
-
5501005927 (MI)
Practice Information
- Address
-
23100 PROVIDENCE DRSUITE 135SOUTHFIELD, MI, 480753646Browse MI providers · Browse ZIP 48075
- Phone
- 2489055180
- Fax
- 2489055181
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| RICHARD D FESSLER II | MD | 1801882584 |
| HAROLD PORTNOY | M.D. | 1699762310 |
| JERRY GLOWNIAK | MD | 1104852367 |
| CARMEN ENDRESS | MD | 1104853480 |
| ZARINA GALARIA | MD | 1659308930 |
| DR. CRISTIE BECKER | MD | 1558399253 |
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.