Mobile Dental of Michigan, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MOBILE DENTAL OF MICHIGAN, PLLC

Practice address

50749 Chesapeake Dr
Novi, MI 48374-2551

Phone

(773) 756-5760

NPI assigned

Jul 1, 2013

Organization subpart

Yes

Parent organization

MOBILE ANESTHESIOLOGISTS OF THE MOTOR CITY, PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Ajay V Raman, D.O.

Title

President

Phone

(773) 756-5760

Specialties & licenses 1

Addresses

Part of

Mobile Anesthesiologists of the Motor City PLLC

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1730529082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313479",
            "telephone_number": "773-756-5760",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50749 CHESAPEAKE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742551",
            "telephone_number": "773-756-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL OF MICHIGAN, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILE ANESTHESIOLOGISTS OF THE MOTOR CITY, PLLC",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "RAMAN",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-756-5760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Selina Mitchelson, PHYSICAL THERAPIST
• Donna Mixon
• Milembe Mkono
• Chiamaka Stacey Mlemchukwu
• Vennisia Mo
• Mobile Surgical Equipment of Michigan LLC
• Ian Mobley
• Allison Mock
• Michelle Modlinski, NP-C
• Laquisha Modock

• Anesthesiology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.