VICTOR JAYASUNDERA RPT
NPI 1558488783
Specialist in Southfield, MI

Active since March 23, 2007
23100 PROVIDENCE DR, SUITE 135, SOUTHFIELD, MI 48075(248) 905-5180(248) 905-5181 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victor Jayasundera Rpt NPPES

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

VICTOR JAYASUNDERA RPT (NPI 1558488783) is an individual specialist in Southfield, Michigan, licensed in Michigan (5501005927) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1558488783
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameVICTOR JAYASUNDERACredential: RPT
Location Address23100 PROVIDENCE DR, SUITE 135Southfield, MI 48075-3646
Mailing Address23100 Providence Dr, Suite 135Southfield, MI 48075-3646 · (248) 905-5180 · Fax (248) 905-5181
Fax(248) 905-5181
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJanuary 26, 2012
NPI 1558488783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 5501005927
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
23100 PROVIDENCE DR, Southfield, MI 48075

Other Identifiers 1

Other5501005927MI · State License

Other Providers at the Same Location NPPES 10

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

Home Health
23100 PROVIDENCE DR, SUITE# 226
SOUTHFIELD, MI 48075
Nursing Care
23100 PROVIDENCE DR, SUITE 227
SOUTHFIELD, MI 48075
Home Health Aide
23100 PROVIDENCE DR
SOUTHFIELD, MI 48075
Physical Therapist
23100 PROVIDENCE DR, SUITE 135
SOUTHFIELD, MI 48075
Physical Therapist
23100 PROVIDENCE DR, SUITE 135
SOUTHFIELD, MI 48075
Home Health
23100 PROVIDENCE DR, SUITE # 152
SOUTHFIELD, MI 48075
Home Health
23100 PROVIDENCE DR, SUITE 210
SOUTHFIELD, MI 48075
Community Health Worker
23100 PROVIDENCE DR, STE # 152
SOUTHFIELD, MI 48075

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 Victor Jayasundera's NPI number?

The NPI number for Victor Jayasundera is 1558488783. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Victor Jayasundera located?

Victor Jayasundera practices at 23100 Providence Dr Suite 135, Southfield, MI 48075. The listed phone number is (248) 905-5180.

What is Victor Jayasundera's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Victor Jayasundera was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.