Organization
PRANAVMJAGTAPMD PLLC
Active
Other names
Paradigm Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
PRANAV M JAGTAP MD (OWNER)
(947) 207-1076
Entity
Organization
Contact information
Practice address
36400 WOODWARD AVE # 101, BLOOMFIELD HILLS, MI 48304-0911
(947) 207-1076
Mailing address
36400 WOODWARD AVE # 101, BLOOMFIELD HILLS, MI 48304-0911
(947) 207-1076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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