Search › Michigan › 183500000X
Suresh Komirisetty
NPI 1003050113 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1705 W Mount Hope Ave
Lansing, MI 48910 - Phone
- (517) 372-6700
- Fax
- (517) 372-0616
- Organisation at this address
- Rite Aid Of Michigan Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan