Provider Demographics
NPI:1386089571
Name:KUMARAN, JANANIE (MD)
Entity type:Individual
Prefix:MISS
First Name:JANANIE
Middle Name:
Last Name:KUMARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 CHRYSLER SERVICE DRIVE
Mailing Address - Street 2:SUITE 5-A, 538-4
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2167
Mailing Address - Country:US
Mailing Address - Phone:313-577-7523
Mailing Address - Fax:313-577-2233
Practice Address - Street 1:3901 CHRYSLER SERVICE DRIVE
Practice Address - Street 2:SUITE 5-A, 538-4
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2167
Practice Address - Country:US
Practice Address - Phone:313-577-7523
Practice Address - Fax:313-577-2233
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2014-05-08
Deactivation Date:2014-03-27
Deactivation Code:
Reactivation Date:2014-05-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program