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Contact Information

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
3290 W BIG BEAVER RD
SUITE 150
TROY, MI48084-2903
 Phone: 248-792-6527
 Fax: 248-792-9106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC

NPI # 1356680912
LBN Legal business name JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Authorized official JAYANT JAGANNATHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2013
Last updated 07/28/2023 - About 3 years ago
Identifiers
MI Medicaid 1447299797
MI Medicaid P52980058
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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