Active NPI
Paritosh Pandey, M.D
- Neurological Surgery Physician
- Detroit, MI
National Provider Identifier
1114157351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301093448
- Practice address
- 4201 Saint Antoine St
Suite 6E
Detroit, MI 48201-2153 - Phone
- (248) 686-4390
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301093448 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Suite 6E
Detroit, MI 48201-2153
Mailing address
2791 Somerset Blvd
Aptt No 109
Troy, MI 48084-4011
Phone (248) 686-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093448 | MI | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1114157351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2791 SOMERSET BLVD",
"address_2": "APTT NO 109",
"city": "TROY",
"state": "MI",
"postal_code": "480844011",
"telephone_number": "248-686-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "SUITE 6E",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "248-686-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "PARITOSH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301093448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.