Jagannathan Neurosurgical Institute PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301095038 Issued in MI

Legal business name

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC

Practice address

6255 Inkster Rd
Suite 206
Garden City, MI 48135-2577

Phone

(734) 458-3614

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jayant Jagannathan, M.D.

Title

President

Phone

(734) 458-3614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1902260417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 771749",
            "address_2": "P.O BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482771749",
            "telephone_number": "734-458-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 206",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-458-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "JAGANNATHAN",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-458-3614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301095038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali H. Jaber, M.D.
• Safa Jaber, PHARMD
• Leah Jackson, DO
• Elizabeth Therese Jacobs, MD
• Louis Israel Jacobs, D.O.
• James G Armstrong DO PC
• Amanda Jo James, DPT, PT
• Khuzaima Javaid, MD
• Yameena Tasneem Jawed, M.D. , M.S.
• Malaky Jebril

• Neurological Surgery Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.