NPI 1043196058

Supriya Panneer Selvam

Practitioner Student in an Organized Health Care Education/Training Program Garden City, MI

Practice location

Address: 6245, Inkster Rd, Garden City, Mi 48135, Garden City, MI 48135
Phone: (734) 458-3614
Mailing address: 37224 S Heather CT, Westland, Mi-48185, Westland, MI 48185

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 4351055443 (MI)

Other Student in an Organized Health Care Education/Training Program providers in Michigan →

Registry record

NPI: 1043196058
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2025
Record last updated: 21 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.