Healthcare Provider Details

I. General information

NPI: 1770906174
Provider Name (Legal Business Name): SUNITA MURANJAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4084 OKEMOS RD
OKEMOS MI
48864-3258
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854
US

V. Phone/Fax

Practice location:
  • Phone: 517-347-4848
  • Fax: 517-676-3438
Mailing address:
  • Phone: 517-676-9788
  • Fax: 517-676-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301089693
License Number StateMI

VIII. Authorized Official

Name: SUNITA SATISH MURANJAN
Title or Position: OWNER
Credential: M.D.
Phone: 517-676-9788