MEDICARE: SYELA METHASANI

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1346190196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYELA METHASANI

Provider Business Mailing Address
First Line	:	2115 HOLLY BERRY LN
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48390-2729
Country	:	US
Telephone Number	:	313-900-7152
Fax Number	:	313-900-7152

Provider Business Practice Location Address
First Line	:	2115 HOLLY BERRY LN # MI48390
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48390-2729
Country	:	US
Telephone Number	:	313-900-7152
Fax Number	:	313-900-7152

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

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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Directions to “ SYELA METHASANI ” Practice Location

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