Provider Demographics
NPI:1811145527
Name:SWAMINATHAN, THIRUKANDEESWARAM (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:THIRUKANDEESWARAM
Middle Name:
Last Name:SWAMINATHAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 TELEGRAPH RD STE 204
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3012
Mailing Address - Country:US
Mailing Address - Phone:248-621-9100
Mailing Address - Fax:734-462-0344
Practice Address - Street 1:31500 TELEGRAPH RD STE 115
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4302
Practice Address - Country:US
Practice Address - Phone:248-621-9100
Practice Address - Fax:901-820-0144
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD474632084S0012X
MI43015018312084N0400X
PAMD4371552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine