Provider Demographics
NPI:1356546709
Name:SUKUMARAN, HARRY P (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:P
Last Name:SUKUMARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2820 CROOKS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3620
Mailing Address - Country:US
Mailing Address - Phone:248-266-9137
Mailing Address - Fax:248-710-2200
Practice Address - Street 1:2820 CROOKS RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3620
Practice Address - Country:US
Practice Address - Phone:248-266-9137
Practice Address - Fax:248-710-2200
Is Sole Proprietor?:No
Enumeration Date:2007-06-17
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301081997207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology