Search › Michigan › 390200000X

Benita Jebackumar, DPM

NPI 1528819943 · on the registry since 2024

Practice

Address
22201 Moross Rd Ste 250
Detroit, MI 48236
Phone
(313) 343-3423
Fax
(313) 343-3401
Organisation at this address
Eastside Neurosurgery Pc
St Clair Adult Medicine Pc
St. John Hospital Corporation
Henry Ford Semi Medical Group
St. John Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
264

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-01

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