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

KANISHKA THIRAN JAYASUNDERA

Active

KANISHKA THIRAN JAYASUNDERA is a Sports Medicine (Emergency) healthcare provider located in ANN ARBOR, Michigan. NPI 1992090625 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · ANN ARBOR, MI

Registration Details

NPI Number
1992090625
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2011 (15.218513768872 yrs)
Last Updated
Sep 2, 2025
Licenses
4301093385 (MI)
SFP53 (CA)

Practice Information

Address
1000 WALL STREET
ANN ARBOR, MI, 481051912
Browse MI providers · Browse ZIP 48105
Phone
7347644190
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in ANN ARBOR, MI

Name Credential NPI
MICHAEL HUVARD MD 1740675636
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.