PRANAV M JAGTAP (NPI# 1114381894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114381894 |
| Entity Type | Individual |
| Full Name | PRANAV M JAGTAP |
| Credential | MD |
| Practice Address |
28050 Grand River Ave Farmington Hills MI 48336-5919 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2484718000 |
| Practice Fax Number | 2484718964 |
| Mailing Telephone | 9475221862 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
4301502156 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 W Grand Blvd, Detroit, MI 482022608 | 3139165445 |
| Street Address |
28050 GRAND RIVER AVE |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811662 | Jyothsna Yalavarthi | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2005-06-20 |
| 1649895848 | Tehreem Sajjad | Podiatrist | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401155 | Darlene Pham | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-11 |
| 1497370050 | Lawrence Jajou | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1548885072 | Ricardo Hernandez | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1669096335 | Krystle Gish | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1588288278 | Jordan Matthew Correll | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1053934760 | Brandon Baroff | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-28 |
| 1912520651 | Aaron W Hess | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992170187 | Fadi Delly, Md PC | Psychiatry & Neurology | 2211 Fort St, Wyandotte, MI 48192-4135 | 2015-12-14 |
| 1568707594 | Neurology Care Center PC | Psychiatry & Neurology | 3815 Pelham St, Dearborn, MI 48124-3852 | 2012-12-03 |
| 1265725147 | Andrew W. Mundwiler | Psychiatry & Neurology | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2011-05-25 |
| 1548482573 | Aiesha Ahmed | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2007-05-02 |
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on PRANAV M JAGTAP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.