Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victor Jayasundera, RPT

Individual provider Specialist · NPI 1558488783

Victor Jayasundera, RPT is a Specialist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

23100 Providence Dr Ste 135
Southfield, MI 48075-3646
Phone: (248) 905-5180
Fax: (248) 905-5181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5501005927 (MI)

Record details

NPI number1558488783
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESJanuary 26, 2012

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