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Damodharan Peram
NPI 1649741521 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2040 Cascade Woods Dr
Jackson, MI 49203 - Phone
- (734) 233-7689
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225800000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-17
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