Jkdhadli MD PLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301054729 Issued in MI

Legal business name

JKDHADLI MD PLC

Practice address

9460 S Saginaw Rd
Suite D
Grand Blanc, MI 48439-8207

Phone

(810) 695-2900

Fax

(810) 695-4311

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jasveen Kaur Dhadli, MD

Title

Psychiatrist/Owner

Phone

(810) 695-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Blanc Psychiatric Center Doing business as

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1891970711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991710",
            "telephone_number": "810-695-2900",
            "fax_number": "810-695-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 S SAGINAW RD",
            "address_2": "SUITE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398207",
            "telephone_number": "810-695-2900",
            "fax_number": "810-695-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKDHADLI MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DHADLI",
        "authorized_official_first_name": "JASVEEN",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "810-695-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301054729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4674650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Blanc Psychiatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.