NPIMap

Organization Active NPI

Detroit Medical Center

  • Neurology Physician
  • Detroit, MI
National Provider Identifier
1205178761
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301100773 Issued in MI
Legal business name
DETROIT MEDICAL CENTER
Practice address
3901 Beaubien St
Department of Neurology, Children's Hospital of Michiga
Detroit, MI 48201-2119
Phone
(313) 966-5201
NPI assigned
Mar 22, 2013
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kallol Kumar Set, M.D.
Title
Resident
Phone
(832) 265-5783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 4301100773 MI Primary

Addresses

Primary practice location

3901 Beaubien St
Department of Neurology, Children's Hospital of Michiga
Detroit, MI 48201-2119

Mailing address

3901 Beaubien St
Department of Neurology, Children's Hospital of Michiga
Detroit, MI 48201-2119
Phone (313) 966-5201

Other names 1

  • Children's Hospital of Michigan Other name

National Provider Directory

National Provider Directory
Tax ID family
University Pediatrician4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1205178761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "DEPARTMENT OF NEUROLOGY, CHILDREN'S HOSPITAL OF MICHIGA",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-966-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "DEPARTMENT OF NEUROLOGY, CHILDREN'S HOSPITAL OF MICHIGA",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-966-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SET",
        "authorized_official_first_name": "KALLOL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "832-265-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301100773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital of Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.