Provider Demographics
NPI:1275020323
Name:GEORGE, JOSHUA SUNNY (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:SUNNY
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4615
Mailing Address - Country:US
Mailing Address - Phone:248-224-4992
Mailing Address - Fax:
Practice Address - Street 1:3990 JOHN R ROAD
Practice Address - Street 2:7-BRUSH N MAILBOX #165
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-993-4030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program