Active NPI
Keshav Grover, D.O.
- Integrative Medicine Physician
- Detroit, MI
National Provider Identifier
1477964310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 5101021362
- Practice address
- 4210 Saint Antoine St
Uhc 9C
Detroit, MI 48201-2108 - Phone
- (313) 745-5147
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | 5101021362 | MI | Primary |
Addresses
Primary practice location
4210 Saint Antoine St
Uhc 9C
Detroit, MI 48201-2108
Mailing address
4505 W. Maple Rd.
Ste. 201
Bloomfield Hills, MI 48301
Phone (248) 403-8388
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021362 | MI | MD | Integrative Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1477964310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 W. MAPLE RD.",
"address_2": "STE. 201",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48301",
"telephone_number": "248-403-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 SAINT ANTOINE ST",
"address_2": "UHC 9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012108",
"telephone_number": "313-745-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "KESHAV",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2023-10-06",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "MI",
"license": "5101021362",
"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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.