KABELO JOSEPH THUSANG (NPI# 1710342027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710342027 |
| Entity Type | Individual |
| Full Name | KABELO JOSEPH THUSANG |
| Credential | MD |
| Practice Address |
804 Service Rd # A217 East Lansing MI 48824-7015 |
| Mailing Address |
804 Service Rd # A109f East Lansing MI 48824-7015 |
| Practice Telephone | 5173538122 |
| Practice Fax Number | 5174323713 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
4301108360 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
804 SERVICE RD # A217 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563096 | John Lester Goudreau | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2006-08-08 |
| 1184002966 | Lizl Maureen Lasky | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-05-12 |
| 1609213909 | Tariq Ahmad Gheith | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2013-05-28 |
| 1942523709 | Rachel Ann Rosenbaum | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2010-03-09 |
| 1700032570 | Lina Nagia | Ophthalmology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2008-08-13 |
| 1972794774 | Christos Sidiropoulos | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2007-08-06 |
| 1700999166 | Jayne Heather Ward | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943928 | Msu Health Care Inc. | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1275604407 | I. Zachary Dyme | Psychiatry & Neurology | 804 Service Road, Room A217, East Lansing, MI 48824-7040 | 2006-11-10 |
| 1245337567 | David H Van Dyke | Psychiatry & Neurology | 138 Service Road, Suite A217, East Lansing, MI 48824-1313 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216821 | Aimee F Luat | Psychiatry & Neurology | 3901 Beaubien St., Children's Hospital of Mi, Detroit, MI 48201 | 2008-02-19 |
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1669419560 | Marianne E Majkowski | Psychiatry & Neurology | 2919 E. Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2006-05-31 |
| 1104815786 | Michael A Nigro | Psychiatry & Neurology | 6832 Ferry Ave, Charlevoix, MI 49720-9501 | 2005-10-17 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| 1497097588 | Harlori Kaur Bains | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
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| 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.