Active NPI
Junaid Ghadai MD PC
- Psychiatry Physician
- Lincoln Park, MI
National Provider Identifier
1831259308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301070092
- Legal business name
- JUNAID GHADAI MD PC
- Practice address
- 4152 Dix Hwy
Lincoln Park, MI 48146 - Phone
- (313) 386-0333
- Fax
- (313) 386-0345
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Junaid M Ghadai, MD
- Title
- Psychiatrist
- Phone
- (313) 386-0333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301070092 | MI | Primary |
| Psychiatry Physician | 2084P0800X | 4301073290 | MI |
Addresses
Primary practice location
4152 Dix Hwy
Lincoln Park, MI 48146
Mailing address
4152 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 386-0333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4761764 | Medicaid | MI | |
| P00118096 | Other | MEDICARE RAILROAD | |
| JG070092 | Other | BC LISENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4152 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 386-0333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Lincoln Park, MI
- NPI 1205883402
-
- Hematology & Oncology Physician
- Detroit, MI
- NPI 1316907348
-
- Psychiatry Physician
- Monroe, MI
- NPI 1679646160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1831259308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4152 DIX HWY",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146",
"telephone_number": "313-386-0333",
"fax_number": "313-386-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 DIX HWY",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146",
"telephone_number": "313-386-0333",
"fax_number": "313-386-0345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNAID GHADAI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2009-04-22",
"status": "A",
"authorized_official_last_name": "GHADAI",
"authorized_official_first_name": "JUNAID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "313-386-0333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301070092",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301073290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4761764",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00118096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC LISENSE",
"identifier": "JG070092",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.