Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEOURRN AMALATHASAN, MD
DeactivatedMR. THEOURRN AMALATHASAN, MD is a Student (Health Education/Training) healthcare provider located in MUSKEGON, Michigan. NPI 1689366767 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MUSKEGON, MI
This NPI has been deactivated.
The record was deactivated on December 28, 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Deactivated NPIs are no longer valid for billing or credentialing.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
- 1689366767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2023 (0.59289617486339 yrs)
- Last Updated
- Aug 5, 2025
- Deactivated
- Dec 28, 2023
Practice Information
- Address
-
1500 E SHERMAN BLVDMUSKEGON, MI, 494441849Browse MI providers · Browse ZIP 49444
- Phone
- 2316722000
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in MUSKEGON, MI
| Name | Credential | NPI |
|---|---|---|
| KIRSTEN J SJOSTRAND | D.O. | 1750512133 |
| SUSAN S LEE | DO | 1144453267 |
| JIRAYU J KUKIRATIRAT | DO | 1841607256 |
| JASMINE CHARMELLE WILLIAMS | — | 1619360732 |
| BENJAMIN WHEELER | — | 1831584705 |
| MELANIE PRAAY | — | 1447735915 |
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.