Individual
DR. NAMITA JAYAPRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH BAO
Contact information
Practice address
2799 W GRAND BLVD, DEPARTMENT OF EMERGENCY MEDICINE HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-1553
Mailing address
2799 W GRAND BLVD, DEPARTMENT OF EMERGENCY MEDICINE HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-1553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101490
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301101490
MI
Other
Enumeration date
06/15/2012
Last updated
03/29/2018
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