PRAVEEN SANMUGANANTHAN DO
NPI 1306631650
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Praveen Sanmugananthan's NPI number?

The NPI number for Praveen Sanmugananthan is 1306631650. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Q: What is Praveen Sanmugananthan's specialty?

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

Active since April 09, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(816) 663-3721 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Praveen Sanmugananthan Do NPPES

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

PRAVEEN SANMUGANANTHAN DO (NPI 1306631650) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306631650

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePRAVEEN SANMUGANANTHANCredential: DO

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address526 Lightfoot PlaePickering, ONTARIO L1V 5Z7

Phone(816) 663-3721

Sole ProprietorYes

Enumeration DateApril 9, 2025

NPPES CertifiedApril 9, 2025

✔ NPI 1306631650 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.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Praveen Sanmugananthan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital