Doctor Name: | AMANDIP SUNERH |
NPI Number: | 1417104084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301092740 |
Business Practice Address: | 112 Woodgreen Dr. Woodbridge, ONTARIO - L4L 7H9 |
Business Phone Number: | 9058501369 |
Business Fax Number: | |
Mailing Address: | 3601 W 13 Mile Rd, ROYAL OAK |
State: | MI |
Postal Code: | 480736712 |
Phone Number: | 2484232454 |
Fax Number: | 2484232576 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301092740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |