MEDICARE: SUMIT JINDAL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501012377	MI

General Provider Information

NPI Number	:	1003865734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMIT JINDAL PT

Provider Business Mailing Address
First Line	:	3059 HONOR DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4013
Country	:	US
Telephone Number	:	248-778-8895
Fax Number	:

Provider Business Practice Location Address
First Line	:	3059 HONOR DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4013
Country	:	US
Telephone Number	:	248-778-8895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	11/12/2012

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