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AJANTHAN SIVAGURUNATHAN M.D.
NPI 1285071860
Student in an Organized Health Care Education/Training Program in South Lyon, MI

Active since May 23, 2013
210 NORTH LAFAYETTE, PROVIDENCE MEDICAL CENTER - SOUTH LYON,, SOUTH LYON, MI 48178(248) 437-1744(248) 437-3245 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ajanthan Sivagurunathan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AJANTHAN SIVAGURUNATHAN M.D. (NPI 1285071860) is an individual student in an organized health care education/training program in South Lyon, Michigan and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1285071860
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAJANTHAN SIVAGURUNATHANCredential: M.D.
Location Address210 NORTH LAFAYETTE, PROVIDENCE MEDICAL CENTER - SOUTH LYON,South Lyon, MI 48178
Mailing Address210 North Lafayette, Providence Medical Center - South Lyon,South Lyon, MI 48178 · (248) 437-1744 · Fax (248) 437-3245
Phone(248) 437-1744
Fax(248) 437-3245
Sole ProprietorNo
Enumeration DateMay 23, 2013
Last NPPES UpdateMarch 27, 2014
✔ NPI 1285071860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
210 NORTH LAFAYETTE, South Lyon, MI 48178
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajanthan Sivagurunathan's NPI number?

The NPI number for Ajanthan Sivagurunathan is 1285071860. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Where is Ajanthan Sivagurunathan located?

Ajanthan Sivagurunathan practices at 210 North Lafayette Providence Medical Center - South Lyon,, South Lyon, MI 48178. The listed phone number is (248) 437-1744.

What is Ajanthan Sivagurunathan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ajanthan Sivagurunathan was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.