Pramod Raval M.D P.C.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

PRAMOD RAVAL M.D P.C.

Practice address

3120 Carpenter St
Suite 313
Hamtramck, MI 48212-9802

Phone

(313) 369-3379

Fax

(313) 893-6346

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tushar Tripathi

Title

Office Manager

Phone

(313) 369-3379

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hetal Gandhi, MD

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1396754453
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1922288703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "address_2": "SUITE 313",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-369-3379",
            "fax_number": "313-893-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "address_2": "SUITE 313",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-369-3379",
            "fax_number": "313-893-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMOD RAVAL M.D P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "TRIPATHI",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-369-3379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Dental Group PLLC
• Marquiese Ann Pearson
• Daphnee Pierre-Louis, FNP
• Fahmida Poly, MD
• Joe Earl Pope
• Premier Smiles
• Prestige Hands LLC
• Prestige Hands LLC
• Prime RX Pharmacy
• Priority Medical Center PLLC

• Ph.D. Medical Genetics in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Ph.D. Medical Genetics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.