Look up the most recent NPI and PECOS records

Vasudevan Suryakumar

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Vasudevan Suryakumar does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1598784712
Provider Type
Individual
Full Name
Suryakumar, Vasudevan
Credential
P.T.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/19/2006
Last Updated
3/21/2014

Contact Information

Practice Location

47715 Adriana Ct, Canton, MI 48187-1336

(734) 578-8278

Unlisted Fax

Mailing Location

47715 Adriana Ct, Canton, MI 48187-1336

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 5501006612 Michigan

Provider Identifiers

ID	Description	Issuer
ID 650H703220	Description Other	Issuer BLUE CROSS BLUE SHIELD Michigan

Vasudevan Suryakumar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Thawani, Inder Kumar

Barterian, Gregory

Schember, Cody

Pawloski, Renee Marie

Synergy Physical Therapy And Rehab, Inc

Patel, Krishna S

Patel, Niranjan B

Physiotherapy Associates

Thomas, Ansu

Fruitman, Richard Alan