MEDICARE: ELANGO KALIAMOORTHY 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	5501007139	MI

General Provider Information

NPI Number	:	1538775713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANGO KALIAMOORTHY PT

Provider Business Mailing Address
First Line	:	2456 PREMIER LN
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-2556
Country	:	US
Telephone Number	:	173-444-7651
Fax Number	:	877-738-9251

Provider Business Practice Location Address
First Line	:	2456 PREMIER LN
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-2556
Country	:	US
Telephone Number	:	734-447-6513
Fax Number	:	877-738-9251

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

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	09/22/2020

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1356343818 — MS. CINDY K BASHAW LISW
Practice Location Address:

2556 BROAD AVE NW
CANTON, OH
44708-2405

Practice Phone: 330-639-0395
Practice Fax: 330-639-0395

1710352711 — GLENDORA GARNER I
Practice Location Address:

1102 TIFFANY LN
CANTON, GA
30114-2556

Practice Phone: 740-605-7718
Practice Fax:

1083567341 — SELINA LOUISE VOLPONE PA-C
Practice Location Address:

42231 PALMER RD
CANTON, MI
48188-1911

Practice Phone: 734-578-8568
Practice Fax:

1689461675 — EZ-WAY HOME HEALTH LLC
Practice Location Address:

40315 MICHIGAN AVE # 501
CANTON, MI
48188-2908

Practice Phone: 248-973-7184
Practice Fax:

1962067157 — MOLECA MAHMOUD GHANNAM
Practice Location Address:

49918 HANCOCK ST
CANTON, MI
48188-6660

Practice Phone: 734-985-5746
Practice Fax:

Directions to “ ELANGO KALIAMOORTHY PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.