Healthcare Provider Details

I. General information

NPI: 1548613680
Provider Name (Legal Business Name): JOSEPH PARAMAGURUNATHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37595 7 MILE RD SUITE 210
LIVONIA MI
48152-1003
US

IV. Provider business mailing address

37595 7 MILE RD SUITE 210
LIVONIA MI
48152-1003
US

V. Phone/Fax

Practice location:
  • Phone: 734-853-5660
  • Fax: 734-853-5697
Mailing address:
  • Phone: 734-853-5660
  • Fax: 734-853-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: