Preethi Premkumar, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

44405 Woodward Ave # 4West
Pontiac, MI 48341-5023

Phone

(248) 858-6487

Fax

(248) 858-3648

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1629335252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PLUM RIDGE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE # 4WEST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-6487",
            "fax_number": "248-858-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMKUMAR",
        "first_name": "PREETHI",
        "name_prefix": "Ms.",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Powell, DO
• Rishab Rajendra Prabhu, M.D.
• Priyanka B Pradhan, MD
• Edward Gladston Pragasam
• Warren Rauss Pratt, RPH
• Keyanna Price
• Tykheema Keiara Price
• Prime Care PC
• Prime One Home Care LLC
• Prime One Home Health Care

• Genetic Counselor (M.S.) in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Genetic Counselor (M.S.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.