Individual
DR. JAYAPRAKASH AYILLATH GOSALAKKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7633 E JEFFERSON AVE, STE 270, DETROIT, MI 48214
(313) 499-1282
(313) 499-1324
Mailing address
7633 E JEFFERSON AVE, STE 270, DETROIT, MI 48214
(313) 499-1282
(313) 499-1324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-098366
OH
208000000X
Pediatrics Physician
A 74084
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35-098366
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301104329
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A 74084
CA
208VP0000X
Pain Medicine Physician
4301104329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-098366
MEDICAL LICENSURE
OH
Enumeration date
05/10/2011
Last updated
01/18/2019
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