Shyam Prasad Aravindaksha (NPI# 1902065014, PAC ID# 5597062760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1902065014 |
| PAC ID by PECOS | 5597062760 |
| Professional Enrollment ID | I20171127000347 |
| Full Name | Shyam Prasad Aravindaksha |
| Organization Legal Name | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
| Address |
29427 Ryan Rd Warren MI 48092-2203 |
| Phone Number | 5867559340 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 5991772287 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| Address | Phone | Organization |
|---|---|---|
| 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2482935500 | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
| 29427 Ryan Rd, Warren, MI 48092-2203 | 5867559340 | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
| Organization Legal Name | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosolino V Sclafani | Oral Surgery | Summit Oral and Maxillofacial Surgery PC | 15870 19 Mile Rd, Clinton Township, MI 48038-3527 |
| Michael B Kraemer | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Arshi Lehal | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| John M Hackenberger | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Claude C Lerose Jr. | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Gregory J Thomas | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Jeffrey A Osguthorpe | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 15870 19 Mile Rd, Clinton Township, MI 48038-3527 |
| Street Address |
29427 RYAN RD |
| City | WARREN |
| State | MI |
| Zip | 48092-2203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Kraemer | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Arshi Lehal | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| John M Hackenberger | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Claude C Lerose Jr. | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Gregory J Thomas | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manhal H Naoumi | Family Medicine | 31500 Dequindre Rd, Suite 100, Warren, MI 48092-1057 | |
| Laith M Potrous | Family Medicine | Madison Heights Urgent Care, PC | 31200 Dequindre Rd, Warren, MI 48092-1344 |
| Nabeel S Toma | Pediatric Medicine | 31200 Dequindre Rd, Warren, MI 48092-1344 | |
| Lawrence Michael Mosurak Iii | Chiropractic | 6201 Chicago Rd, Warren, MI 48092-1610 | |
| Carrol E Urban Jr. | Chiropractic | Dr Carrol E Urban Chiropractic Physician PC | 6201 Chicago Rd, Warren, MI 48092-1610 |
| Ronald M Urban | Chiropractic | Dr Carrol E Urban Chiropractic Physician PC | 6201 Chicago Rd, Warren, MI 48092-1610 |
| Sheila J Eaton | Psychologist, Clinical | 6200 Chicago Rd, Suite C, Warren, MI 48092-1682 | |
| Laura Gross | Clinical Social Worker | Prestige Creative Arts Therapy LLC | 6655 Chicago Rd, Suite 1, Warren, MI 48092-1685 |
| Aimee Popofski | Podiatry | Foot and Ankle Specialists of Michigan Pllc | 29433 Ryan Rd, Warren, MI 48092-2203 |
| Lena C Antoski | Nurse Practitioner | Charles G Kissel Dpm PC | 29433 Ryan Rd, Warren, MI 48092-2203 |
| Find all physicians in zip 48092 | |||
| City | WARREN |
| Zip Code | 48092 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WARREN + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Shyam Prasad Aravindaksha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.