Eti Gursel MD PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

ETI GURSEL MD PC

Practice address

26699 W 12 Mile Rd
Suite 201 248-358-1491
Southfield, MI 48034-1578

Phone

(248) 358-0011

Fax

(248) 358-1491

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Eti Gursel, MD

Title

President

Phone

(248) 358-0011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirti Prakash Sanghvi, M.D.

  • Family Medicine Physician
  • Sylvan Lake, MI
  • NPI 1043439219
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1851539357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHESTNUT RUN DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021111",
            "telephone_number": "248-358-0011",
            "fax_number": "248-358-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "SUITE 201 248-358-1491",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "248-358-0011",
            "fax_number": "248-358-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETI GURSEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "GURSEL",
        "authorized_official_first_name": "ETI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-358-0011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.