DETROIT BRAIN INSTITUTE PLLC (NPI# 1932573904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932573904 |
| Entity Type | Organization |
| Organization Name | DETROIT BRAIN INSTITUTE PLLC |
| Practice Address |
18111 Wildemere St Detroit MI 48221-2728 |
| Mailing Address |
17177 N Laurel Park Dr Suite 439 Livonia MI 48152-2693 |
| Practice Telephone | 3134925701 |
| Mailing Telephone | 7344620340 |
| Mailing Fax Number | 7344620344 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | GREGORY NORRIS (PRESIDENT) |
| Authorized Official Telephone | 3134925701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
18111 WILDEMERE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1497060818 | Anza Bilal Memon | Psychiatry & Neurology | 4201 Saint Antoine St Ste 8a, Detroit, MI 48201-2153 | 2010-08-10 |
| 1407167802 | Rahul Damani | Psychiatry & Neurology | 4201 Saint Antoine Street, Detroit, MI 48201 | 2010-06-30 |
| 1689805087 | Humaira Fahim | Psychiatry & Neurology | 4201 Saint Antoine St # St8a, Detroit, MI 48201-2153 | 2009-08-03 |
| 1235396607 | Elissa Kay Fory | Psychiatry & Neurology | 2799 W Grand Blvd # K-11, Detroit, MI 48202-2608 | 2008-05-21 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1881632511 | M Maher Fakhouri | Psychiatry & Neurology | 4201 Saint Antoine St Ste 8a&8b, University Health Center, Detroit, MI 48201-2153 | 2006-06-03 |
| 1255378774 | Edwin Black George | Psychiatry & Neurology | 4201 St Antoine Ste 8a & 8b, University Health Center, Detroit, MI 48201-2153 | 2006-06-01 |
| 1376535575 | Thomas H Swanson | Psychiatry & Neurology | 4201 Saint Antoine St Ste 8d, Detroit, MI 48201-2153 | 2005-08-16 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on DETROIT BRAIN INSTITUTE PLLC.
| 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.